About Our Company

We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.

Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.

When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.

Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.

Job Description

At VillageMD, we're looking for a Manager of Payor Partnership, Analysis to help us transform the way primary care is delivered and how patients are served. As a national leader on the forefront of healthcare, we've partnered with many of today's best primary care physicians. We're equipping them with the latest digital tools. Empowering them with proven strategies and support. Inspiring them with better practices and consistent results.

We're creating care that's more accessible. Effective. Efficient. With solutions that are value-based, physician-driven and patient-centered. To accomplish this, we're looking for individuals who share our sense of excellence, are ready to embrace change, and never settle for the status quo. Individuals who have the confidence to lead but the humility to never stop learning.

Could this be you?

Integral to our team, the Manager of Payor Partnership, Analysis will be accountable for driving successful payor and provider partnerships through development, execution, and management of analysis of payor reimbursement and contract performance which support the VillageMD business model.  This individual will be responsible for supporting negotiations with both payors and providers with an emphasis on building strong, collaborative relationships that support innovative reimbursement structures to advance the best interest of high quality, affordable patient care.

How you can make a difference

• Develop and build models to help VillageMD analyze reimbursement rates and identify areas of improvement.
• Assist in operational and financial support of implementation of VMD’s Payor Contracting business plan, achievement of operating results, and strategic priorities.
• Provide insights to help negotiators utilize various contract methodologies, actuarial approaches, and financial strategies to optimize the value of payor agreements.
• Maintain strong interpersonal relationships within VillageMD departments, including Revenue Cycle, and Finance.
• Build relationships with senior level operations leadership to understand multifaceted business problems and develop analytical solutions to complex issues.
• Own the process of monitoring performance in fee-for-service contracts across multiple payers.
• Mine patient and healthcare provider data from multiple sources, including medical claims data, pharmacy claims data and clinical data from electronic medical records, to discover key analytical insights for decision support.

Skills for success

• Ability to be proactive with strong personal initiative as well as highly organized and detail oriented.
• Understanding of reimbursement models, CPT/HCPC codes, Medicare, Medicaid and Commercial Managed Care Payors.
• Excellent verbal and written communication skills; ability to convey complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others, including but not limited to reimbursement policy standards.
• Strong interpersonal skills, establishing rapport and working well with others.
• The ability to handle multiple, co