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*Director position is eligible for new hire incentives and participates in the Director Incentive Plan.*

*Located in La Jolla, San Diego and requires you to be a resident of San Diego County.*

*About Scripps Health:*

Founded in 1924,*Scripps Health*is a $5 billion, private nonprofit health system based in San Diego, founded in 1924 by philanthropist Ellen Browning Scripps. Serving over 600,000 patients annually, it operates five acute-care hospitals, 30 outpatient centers, home health services, and a wide physician network of 3,000 affiliated doctors and 17,800 employees. Recognized nationally for excellence, Scripps has earned top rankings from*U.S. News & World Report*,*Fortune*,*Newsweek*, and*Becker’s Healthcare*, and maintains an*AA rating with a stable outlook*from*S&P Global Ratings*due to its strong leadership and financial performance.

Why Payer Relations?

The Payer Relations team is a close-knit group of highly motivated individuals. We are passionate about our work and love to laugh.

What will you do?

* Negotiate fee-for-service, partial risk, and full global risk HMO, PPO, and Ancillary services managed care agreements with health plans on behalf of Scripps Health's hospitals/facilities or Scripps Medical Foundation and partner medical groups or a combination of both in order to achieve Scripps Health's revenue targets and overall goals.

* Oversee and actively engage in the analysis, management, accounting, and budgeting of all managed care agreements. Establish effective lines of communication between Payer Relations and Patient Financial Services, Business Services, and Scripps Health Plan Services in order to maximize contract effectiveness and ease of administration.

* Negotiate settlements and resolve disputes between Scripps Health, Scripps Health Plan Services, and third-party payers.

* Present the results to all levels of management at Scripps Health and Scripps Health Plan Services in order to support its negotiating position.

* Communicate with health plans upon acquisition of hospitals, ancillary facilities, and medical groups in order to include them in HMO, PPO, and Ancillary services managed care agreements.

* Participate in strategy development for Scripps Health/Scripps Health Plan Services payer contracting.

#LI-DP1

*Required Education/Experience/Specialized Skills:*

* Bachelor's degree plus five (5) years of management experience in hospital and medical group fee-for-service, partial risk, and full global risk HMO, PPO, and ancillary services negotiations and contracting experience, including strong knowledge of legal and financial issues.

*Preferred Education/Experience/Specialized Skills/Certification:*

* Master's degree in business or health care administration, or a related field, and eight (8) years of hospital and medical group fee-for-service, partial risk, and full global risk HMO, PPO, and ancillary services negotiations and contracting experience.

* Strong financial modeling and analytic skills and experience overseeing this function in a multi-institutional/medical group setting.

**Job:** **Finance*

**Organization:** **Scripps Health Corp*

**Title:** *Director, Payer Contracting - La Jolla *

**Location:** *Central San Diego County-SAN DIEGO-SCRIPPS CORPORATE OFFICES*

**Requisition ID:** *252001926*