- 10 years experience with CMS and Managed Care Contracts 5 years experience negotiating complex contracts for providers or payors Experience with the adjudication of hospital complex claims What Would Be Nice To Have :
Director / (Associate Director) of Independent Dispute Resol - Boise, United States - Idaho State Job Bank
Description
Director / (Associate Director) of Independent Dispute Resol at Guidehouse in Boise, Idaho, United States Job Description Job Family : PFS General Travel Required : Up to 25% Clearance Required : None What You Will Do : Guidehouse is seeking a Director / (Associate Director) of Independent Dispute Resolution team.
This individual will manage/lead a team of 10-20 associates arbitrating respective payor and provider reimbursement offers under the Center of Medicare and Medicaid Services (CMS) No Surprises Act (NSA).
+ The Director will serve as the leader of a team of dispute resolutions representatives, arbitrators, and reporting and invoicing analysts.
+ Based on recommendation from the team arbiters, the Director will serve as the final authority on the arbitration decision.
+ Works with the Guidehouse banking teaming partner to ensure payments are appropriately invoiced and provided. + Represent Guidehouse and the team with providers, payors and CMS as required.What You Will Need :
+ Bachelor's Degree or High School Diploma with appropriate years' experience.
What We Offer :
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace
Benefits include:
+ Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company Paid Holidays + Position may be eligible for a discretionary variable incentive bonus + Parental Leave + 401(k) Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + Short-Term & Long-Term Disability + Tuition Reimbursement, Personal Development & Learning Opportunities + Skills Development & Certifications + Employee Referral Program + Corporate Sponsored Events To view full details and how to apply, please login or create a Job Seeker account