Dallas Nephrology Associates (DNA) is a large independent single specialty practice with numerous offices located throughout the Dallas-Fort Worth metroplex. DNA has a long-standing reputation of providing quality care to patients in the North Texas area since 1971. We pride ourselves on our 5 guiding principles: accountability, integrity, innovation, exceptional service, and teamwork.
The Manager of Payer Relations plays a critical role in maintaining credentialing & payor relationships. This position maintains strong relationships with payers and ensures effective communication between the company, clinicians, and stakeholders. Responsibilities for this position will include:
Payer Relationship Development and Contracts:
- Cultivate and maintain positive relationships with payers
- Implement pricing strategies to optimize reimbursement
- Communicate payer participant requirements to company clinicians and stakeholders
Payer Reimbursement Models:
- Takes the initiative in developing and evaluating new payer reimbursement models.
- Collaborate with company leadership to manage performance under these arrangements
- Ensure payer behaviors align with respective contracts
Credentialing Management:
- Oversee the credentialing function for both payor and facility enrollment for 140+ providers
- Maintain timelines & communication of all reappointments & onboarding of new providers
- Collaborate with Revenue Cycle leadership to ensure compliance with payer-specific billing requirements.
Qualifications include:
- Bachelor’s Degree in Finance, Healthcare Administration, or a related field
- 5+ years of experience in Payer/Provider contracting and reimbursement
- Knowledge of contracting and credentialing
- Expertise in contract building blocks value based & fee for service (e.g., FFS, CPTs, DRG, globals)..
- Strong attention to detail, organizational skills, and project management abilities.
- Excellent time management and multitasking skills.
Job Type: Full-time
Pay: Up to $80,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Application Question(s):
- **REQUIRED* The starting salary for this position is dependent on years of experience starting at $80,000 annually. Please CONFIRM That you understand the salary range for this position. Candidates that do not answer this question will NOT be considered for employment at DNA*
- **REQUIRED* This position is located ONSITE in DALLAS, TEXAS. Please CONFIRM That you understand the onsite requirement for this position. Candidates that do not answer this question will NOT be considered for employment at DNA*
- **REQUIRED* Do you have the necessary expertise in contract building blocks value based & fee for service (e.g., FFS, CPTs, DRG, globals) contracting? Please CONFIRM that you are aware of this requirement. Candidates that do not answer this question will NOT be considered for employment at DNA
Education:
Experience:
- Payer/Provider contracting and reimbursement.: 5 years (Required)
- contracting and credentialing.: 5 years (Required)
Ability to Relocate:
- Dallas, TX 75234: Relocate before starting work (Required)
Work Location: In person