8 open positions available
The Specialist, Cash Posting is responsible for accurately applying and reconciling manual and electronic payments in a timely manner. This includes payment posting, reviewing patient account balances, performing bank reconciliations, and resolving unapplied accounts. | Candidates should have 3-5 years of direct cash handling experience in a healthcare setting and a high school diploma or GED equivalent. Strong communication skills and the ability to work independently in a remote environment are essential. | Welcome to Ovation Healthcare! At Ovation Healthcare (formerly QHR Health), we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare’s vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork. Ovation Healthcare’s corporate headquarters is located in Brentwood, TN. For more information, visit www.ovationhc.com. Summary: The Specialist, Cash Posting is responsible for ensuring that all aspects of manual and electronic payments are accurately applied and reconciled within a timely manner. Duties and Responsibilities: Payment posting manual/Electronic (ERA’s) patient and insurance payments, adjustments, and/or denials Locate remittances & payments in various portals &/or clearinghouse Read and interpret EOB’s Apply copay/coinsurance and deductible balances to patient responsibility Review of patient account balances as needed to determine posting accuracy Perform payment deposit downloads and bank reconciliations Daily cash reconciliation and reporting Research and resolve unapplied accounts Flexibility to cross train/assist with training/cover for other team members and/or with other projects as needed Identify and report on trends/issues Prepare, reconcile and complete the local bank deposits for mail patient/insurance/accounting payments & other hospital/clinic departments (does not apply to home-based candidates) Maintain/reconcile petty cash funds, process point of service patient payments (does not apply to home-based candidates) Post monthly agency payment reports Work to resolve unidentified deposits Work posting issue work queues Knowledge, Skills and Abilities: 10 key calculator skills preferred Ability to read, speak, and write fluent English Data entry experience Familiarity with computers (MS/Excel applications). Basic to intermediate Excel skills preferred Requires developed communication skills to effectively work with all levels of management, peers and clients. Possesses excellent written and verbal communications. Ability to work as a team member, creating and maintaining effective working relationships. Must adapt and demonstrate the ability to work independently in a quiet, dedicated workspace from home in a fast-paced, changing and goal-oriented environment Must be detail oriented, a strong multi-tasker, resourceful and possess the ability to apply critical thinking skills to make good and independent decisions. Candidate must exhibit excellent time management organizational skills Work Experience, Education and Certificates: Minimum of 3-5 years (preferred) prior direct cash handling experience in healthcare setting High school diploma or GED equivalent required Home-Based (remote) position requires a reliable high speed internet connection Working Conditions and Physical Requirements: 100% Remote Reliable high-speed internet connection is required for all remote/hybrid positions. Must have access to stable Wi-Fi with sufficient bandwidth to support video conferencing, cloud-based tools, and other online work-related activities. A HIPAA-compliant work environment is required, including a secure workspace free from unauthorized access or interruptions, no use of public Wi-Fi unless connected through a secure company-provided VPN, and compliance with all applicable HIPAA privacy and security regulations. Ovation will never contact applicants via Chatwork or any other messaging platform outside of our official channels. If you receive any communication claiming to be from Ovation through Chatwork or any unauthorized platform, please disregard it and report it to us immediately. Our official communication will always come from our company email domain or through recognized professional channels like LinkedIn. If you have any questions or concerns regarding the authenticity of a communication, please contact us directly at communications@ovationhc.com for verification. Headquartered in Brentwood, Tenn., Ovation Healthcare partners with 375+ hospitals and health systems across 47 states. For 45+ years, Ovation Healthcare has supported hospitals and health systems through a portfolio of shared services – Leadership Advisory, Spend Management, Revenue Cycle Management, and Technology Services– designed to provide scale and efficiency to hospital business operations.
Manage strategic client relationships, drive value and savings, and lead account planning and growth initiatives. | Minimum 5+ years in strategic account management, healthcare industry experience, and proficiency with data tools like PowerBI or Tableau. | Welcome to Ovation Healthcare! At Ovation Healthcare, we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork. Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit https://ovationhc.com. Summary: The Senior Director, Client Engagement serves as the principle executive contact with Ovation’s Spend Management members. In this role, the Senior Director is responsible for working with strategic members, specifically the C-Suite and Executive Leadership, to drive value and savings to enhance their performance, as well as expanding Ovation Healthcare’s footprint with the member and driving growth. The ability to travel up to 60%, including overnight travel, is required for the role. Duties and Responsibilities: • Keeps the organization’s vision and values at the forefront of decision-making and action. • Ensures each assigned client achieves specific targets for organic growth, contract performance, compliance, conversions, renewal, savings, and strategic objectives. • Monitors key performance metrics and report progress to senior leadership team. • Establishes productive, professional, and consultative relationships with C-Suite, executive personnel throughout member organization, building credibility and trust through collaboration. • Moves strategic customers from current state to a trusted strategic partnership; formalize partnership through an agreement that is recognized across Ovation Healthcare and the account. • Leads executive business reviews to reinforce Spend Management value, demonstrate executed savings, and highlight progress on key initiatives. • Leads solution development efforts that best address customer needs, while coordinating the involvement of all necessary Ovation Healthcare personnel. • Proactively leads a joint company-strategic account planning process that develops mutual performance objectives, financial targets, and critical milestones for a one-to-three-year period that leads to a clear action plan for success. • Builds strategic partnerships with accounts to further advance company goals of revenue and margin enhancement. • Develops internal processes and initiatives to drive revenue growth and enhance productivity. • Identifies opportunities to promote and present other Ovation value added services, i.e. Leadership & Advisory, Revenue Cycle, & Technology Solutions. • Represents Ovation Healthcare at industry conferences and events – Provide executive presentations, as needed. • Contributes to organizational strategy by sharing client feedback and market intelligence. • Leads direct reports, as needed (i.e., Directors, Managers, Analysts, etc.) • Fosters a culture of collaboration, professional development, and continuous improvement. • Participate in prospective member (sales) presentations, as needed. Knowledge, Skills & Abilities: • Extensive knowledge of the healthcare industry, supply chain, group purchasing organizations (GPOs), clinical, and business personnel • Excellent communication and inter-personal skills; able to present and influence credibly and effectively at all levels of the organization including the C-Suite. • Provide consultative direction toward predetermined long-range goals and objectives, where assignments are often self-initiated. • Passion for results-- able to drive high standards for self; tenaciously working to meet or exceed challenging goals. • Ability to demonstrate financial knowledge and business acumen. • Exceptional Project Management, communication, negotiation, and presentation skills. • Proven ability to successfully manage multiple projects and timelines. • Working knowledge of purchased services and capital equipment planning. • Supply Chain Processes - Demonstrated understanding of end-to-end supply chain processes. • Ability to effectively negotiate with a record of accomplishment of results. • Demonstrated ability to calculate figures and amounts such as savings, rebates, fees, and percentages, as well as analyze statistical and financial data. • Ability to understand and follow spreadsheets and contract language. • Strong organizational, problem-solving, and analytical skills; able to manage priorities and workflow with minimal direction. • Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm. • Ability to initiate tough conversations, effectively manage internal politics, and handle conflict in a healthy, relationship-building manner. • Must demonstrate executive presence and emotional intelligence, remaining calm and confident in challenging situations. • Ability to successfully manage a team. • Intimate understanding of all internal functions of both Ovation Healthcare and the accounts assigned. • Proven ability to identify and capitalize on cross-selling and upselling opportunities. • Excellent time management skills with ability to use independent judgment effectively. • Ability to execute, both independently and as a collaborate member of various teams and committees. Work Experience, Education, and Certifications: • Bachelor’s degree in business or management related field, MBA preferred. • Demonstrated understanding of group purchasing organizations and supply chain processes, acquired through 7+ years of experience. • Minimum 5+ years of strategic account management experience. • Skilled in coaching and mentoring leaders to build organizational bench strength. • Sales experience- prospecting, pipeline development, conversion not required but helpful. • Value analysis experience not required, but helpful. • Project management experience or knowledge. • Experience working with data analysis and visualization tools such as Microsoft PowerBI, Tableau, Microstrategies • Experience with Excel, Word, Outlook, and PowerPoint • CRM (Salesforce) experience preferred. • Ability to execute responsibilities in a hybrid work environment. Travel Requirements: • Travel up to 60%, including overnight travel, is required for the role.
Manage strategic client relationships, drive value and savings, and lead growth initiatives within healthcare supply chain management. | Extensive healthcare industry experience, supply chain and GPO knowledge, strategic account management skills, and ability to lead teams and manage multiple projects. | Welcome to Ovation Healthcare! At Ovation Healthcare, we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork. Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit https://ovationhc.com. Summary: The Senior Director, Client Engagement serves as the principle executive contact with Ovation’s Spend Management members. In this role, the Senior Director is responsible for working with strategic members, specifically the C-Suite and Executive Leadership, to drive value and savings to enhance their performance, as well as expanding Ovation Healthcare’s footprint with the member and driving growth. The ability to travel up to 60%, including overnight travel, is required for the role. Duties and Responsibilities: Keeps the organization’s vision and values at the forefront of decision-making and action. Ensures each assigned client achieves specific targets for organic growth, contract performance, compliance, conversions, renewal, savings, and strategic objectives. Monitors key performance metrics and report progress to senior leadership team. Establishes productive, professional, and consultative relationships with C-Suite, executive personnel throughout member organization, building credibility and trust through collaboration. Moves strategic customers from current state to a trusted strategic partnership; formalize partnership through an agreement that is recognized across Ovation Healthcare and the account. Leads executive business reviews to reinforce Spend Management value, demonstrate executed savings, and highlight progress on key initiatives. Leads solution development efforts that best address customer needs, while coordinating the involvement of all necessary Ovation Healthcare personnel. Proactively leads a joint company-strategic account planning process that develops mutual performance objectives, financial targets, and critical milestones for a one-to-three-year period that leads to a clear action plan for success. Builds strategic partnerships with accounts to further advance company goals of revenue and margin enhancement. Develops internal processes and initiatives to drive revenue growth and enhance productivity. Identifies opportunities to promote and present other Ovation value added services, i.e. Leadership & Advisory, Revenue Cycle, & Technology Solutions. Represents Ovation Healthcare at industry conferences and events – Provide executive presentations, as needed. Contributes to organizational strategy by sharing client feedback and market intelligence. Leads direct reports, as needed (i.e., Directors, Managers, Analysts, etc.) Fosters a culture of collaboration, professional development, and continuous improvement. Participate in prospective member (sales) presentations, as needed. Knowledge, Skills & Abilities: Extensive knowledge of the healthcare industry, supply chain, group purchasing organizations (GPOs), clinical, and business personnel Excellent communication and inter-personal skills; able to present and influence credibly and effectively at all levels of the organization including the C-Suite. Provide consultative direction toward predetermined long-range goals and objectives, where assignments are often self-initiated. Passion for results-- able to drive high standards for self; tenaciously working to meet or exceed challenging goals. Ability to demonstrate financial knowledge and business acumen. Exceptional Project Management, communication, negotiation, and presentation skills. Proven ability to successfully manage multiple projects and timelines. Working knowledge of purchased services and capital equipment planning. Supply Chain Processes - Demonstrated understanding of end-to-end supply chain processes. Ability to effectively negotiate with a record of accomplishment of results. Demonstrated ability to calculate figures and amounts such as savings, rebates, fees, and percentages, as well as analyze statistical and financial data. Ability to understand and follow spreadsheets and contract language. Strong organizational, problem-solving, and analytical skills; able to manage priorities and workflow with minimal direction. Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm. Ability to initiate tough conversations, effectively manage internal politics, and handle conflict in a healthy, relationship-building manner. Must demonstrate executive presence and emotional intelligence, remaining calm and confident in challenging situations. Ability to successfully manage a team. Intimate understanding of all internal functions of both Ovation Healthcare and the accounts assigned. Proven ability to identify and capitalize on cross-selling and upselling opportunities. Excellent time management skills with ability to use independent judgment effectively. Ability to execute, both independently and as a collaborate member of various teams and committees. Work Experience, Education, and Certifications: Bachelor’s degree in business or management related field, MBA preferred. Demonstrated understanding of group purchasing organizations and supply chain processes, acquired through 7+ years of experience. Minimum 5+ years of strategic account management experience. Skilled in coaching and mentoring leaders to build organizational bench strength. Sales experience- prospecting, pipeline development, conversion not required but helpful. Value analysis experience not required, but helpful. Project management experience or knowledge. Experience working with data analysis and visualization tools such as Microsoft PowerBI, Tableau, Microstrategies Experience with Excel, Word, Outlook, and PowerPoint CRM (Salesforce) experience preferred. Ability to execute responsibilities in a hybrid work environment. Travel Requirements: Travel up to 60%, including overnight travel, is required for the role. WORKING CONDITIONS AND PHYSICAL REQUIREMENTS: Reliable high-speed internet connection is required for all remote/hybrid positions. Must have access to stable Wi-Fi with sufficient bandwidth to support video conferencing, cloud-based tools, and other online work-related activities. A HIPAA-compliant work environment is required, including a secure workspace free from unauthorized access or interruptions, no use of public Wi-Fi unless connected through a secure company-provided VPN, and #LI-Remote Ovation will never contact applicants via Chatwork or any other messaging platform outside of our official channels. If you receive any communication claiming to be from Ovation through Chatwork or any unauthorized platform, please disregard it and report it to us immediately. Our official communication will always come from our company email domain or through recognized professional channels like LinkedIn. If you have any questions or concerns regarding the authenticity of a communication, please contact us directly at communications@ovationhc.com for verification. Headquartered in Brentwood, Tenn., Ovation Healthcare partners with 375+ hospitals and health systems across 47 states. For 45+ years, Ovation Healthcare has supported hospitals and health systems through a portfolio of shared services – Leadership Advisory, Spend Management, Revenue Cycle Management, and Technology Services– designed to provide scale and efficiency to hospital business operations.
Manage client relationships and lead payer contract negotiations, analyze contract profitability, and provide strategic guidance on managed care agreements for healthcare clients. | 3-5 years of managed care or payer relations experience in healthcare, strong negotiation skills, healthcare industry knowledge, and proficiency in Microsoft Office with analytical capabilities. | Welcome to Ovation Healthcare! At Ovation Healthcare (formerly QHR Health), we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare’s vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork. Ovation Healthcare’s corporate headquarters is located in Brentwood, TN. For more information, visit www.ovationhc.com. Summary: The Senior Consultant of Payer Relations, under the direction of the VP, Payer Relations, is responsible for the client relationship with a select group of client hospitals. The client relationship responsibilities include service and support as the primary liaison between the hospital and managed care payers. The individual will provide written assessments of proposed managed care agreements as well as contract negotiation and support. Additional duties include but are not limited to assisting clients with payer communication and administrative issues, delivery of educational programs for clients, coordinating the development of contract models and maintaining a customer database of activity. This position will participate in client engagements in support of the project team and prepare and present client deliverables. Duties and Responsibilities: Responsible for the engagement life cycle and its relationship to project activities while producing client ready deliverables. Leads negotiation of provider and payer ensuring alignment with organizational goals and financial targets Leads complex contract initiatives, including new provider network, negotiation cycles, or service expansions Review and analyze data for contract administration – evaluate the profitability of contract renewals/existing contracts Work with Payer Relations Team to establish a work plan, set priorities, organize tasks, resource needs and recommend appropriate methodologies, tools and resources to optimize project profitability. Develop and maintain resource materials/tools for clarification of contracts (language templates) Responsible for managing client expectations in line with budget and project objectives. Assist with updates to the Contract Tracker, Contract matrices, Client Agendas and other documents used to communicate project status and updates with the clients. Ensure annual escalators from payers are requested, validated, updated in the Contract Matrix, and shared with hospital staff. Track contract performance post contract execution and recommend adjustments as needed (i.e, chargemaster increases, etc) Maintain accurate documentation of any negotiations, contract versions, and final agreements Prepare negotiation, assist with financial models, complete analysis and strategy options and recommendations for leadership Develop negotiation strategies based on trends, regulatory requirements/guidelines, and competitive markets Conduct detailed claims analysis to assess financial impact of proposed contract terms Analyze contract terms, reimbursement methodologies for all negotiations Implement best practices and process improvements for contract lifecycle management Possess a keen understanding of managed care contracting and related initiatives, as well as the underlying systems that support those initiatives. Identify and analyze user requirements, procedures, and problems to improve existing reimbursement and identify opportunities for improvement. Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations. Monitor market research on reimbursement benchmarks, network adequacy, and industry trends. Develop, share, and incorporate organizational best practices into business applications. Build and maintain strong relationships with providers, health systems, payers, and other partners Prepare high level reports summarizing negotiation status, outcomes, financial impact and strategic recommendations Provide strategic guidance to clients and/or leadership on trends such as value-based care, telehealth, and alternative payment models. Manage day to day client relationships while managing client expectations in line with budget and project objectives Assist Payer Relations Team in managing quality of the work product and interact directly with mid-level client contacts and above on engagement issues. Ability to deliver client reports within 30 days of a client meeting. Knowledge, Skills, and Abilities: Proven track record of achieving goals and objectives as it relates to managed care contracting Intermediate level of analytical skills and experience strong communication skills: ability to interact with multiple levels of clients (ie hospital/physicians/payor plans/corporate staff) Proficient in Microsoft applications- Word/Access/Excel Intermediate level Excel experience (pivot tables, V-lookup’s, etc) Critical thinking and problem-solving abilities. Work Experience, Education, and Certifications: BS/BA preferred in a related field or relevant experience is desired. Understanding of Medicare/Medicaid government contracting, reimbursement, and regulations Healthcare experience required. 3-5 Managed Care and/or Payer Relations experience required. Experience working in a managed care environment for a healthcare delivery system (Professional or Facility managed care experience in this environment is sufficient). Possess strong negotiating skills with a successful track record negotiating contracts with individuals, groups, complex systems. Travel Requirements: Up to 50% Ovation will never contact applicants via Chatwork or any other messaging platform outside of our official channels. If you receive any communication claiming to be from Ovation through Chatwork or any unauthorized platform, please disregard it and report it to us immediately. Our official communication will always come from our company email domain or through recognized professional channels like LinkedIn. If you have any questions or concerns regarding the authenticity of a communication, please contact us directly at communications@ovationhc.com for verification. Headquartered in Brentwood, Tenn., Ovation Healthcare partners with 375+ hospitals and health systems across 47 states. For 45+ years, Ovation Healthcare has supported hospitals and health systems through a portfolio of shared services – Leadership Advisory, Spend Management, Revenue Cycle Management, and Technology Services– designed to provide scale and efficiency to hospital business operations.
Manage client relationships and lead payer contract negotiations, analyze contract data, and deliver client-ready reports and strategic guidance in healthcare payer relations. | 3-5 years of managed care or payer relations experience in healthcare, strong negotiation and analytical skills, proficiency in Microsoft Office, and a bachelor's degree or relevant experience. | Welcome to Ovation Healthcare! At Ovation Healthcare (formerly QHR Health), we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare’s vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork. Ovation Healthcare’s corporate headquarters is located in Brentwood, TN. For more information, visit www.ovationhc.com. Summary: The Senior Consultant of Payer Relations, under the direction of the VP, Payer Relations, is responsible for the client relationship with a select group of client hospitals. The client relationship responsibilities include service and support as the primary liaison between the hospital and managed care payers. The individual will provide written assessments of proposed managed care agreements as well as contract negotiation and support. Additional duties include but are not limited to assisting clients with payer communication and administrative issues, delivery of educational programs for clients, coordinating the development of contract models and maintaining a customer database of activity. This position will participate in client engagements in support of the project team and prepare and present client deliverables. Duties and Responsibilities: Responsible for the engagement life cycle and its relationship to project activities while producing client ready deliverables. Leads negotiation of provider and payer ensuring alignment with organizational goals and financial targets Leads complex contract initiatives, including new provider network, negotiation cycles, or service expansions Review and analyze data for contract administration – evaluate the profitability of contract renewals/existing contracts Work with Payer Relations Team to establish a work plan, set priorities, organize tasks, resource needs and recommend appropriate methodologies, tools and resources to optimize project profitability. Develop and maintain resource materials/tools for clarification of contracts (language templates) Responsible for managing client expectations in line with budget and project objectives. Assist with updates to the Contract Tracker, Contract matrices, Client Agendas and other documents used to communicate project status and updates with the clients. Ensure annual escalators from payers are requested, validated, updated in the Contract Matrix, and shared with hospital staff. Knowledge, Skills, and Abilities: Proven track record of achieving goals and objectives as it relates to managed care contracting Intermediate level of analytical skills and experience strong communication skills: ability to interact with multiple levels of clients (ie hospital/physicians/payor plans/corporate staff) Proficient in Microsoft applications- Word/Access/Excel Intermediate level Excel experience (pivot tables, V-lookup’s, etc) Critical thinking and problem-solving abilities Work Experience, Education, and Certifications: BS/BA preferred in a related field or relevant experience is desired. Understanding of Medicare/Medicaid government contracting, reimbursement, and regulations Healthcare experience required. 3-5 Managed Care and/or Payer Relations experience required. Experience working in a managed care environment for a healthcare delivery system (Professional or Facility managed care experience in this environment is sufficient). Possess strong negotiating skills with a successful track record negotiating contracts with individuals, groups, complex systems. Knowledge, Skills, and Abilities: Track contract performance post contract execution and recommend adjustments as needed (i.e, chargemaster increases, etc) Maintain accurate documentation of any negotiations, contract versions, and final agreements Prepare negotiation, assist with financial models, complete analysis and strategy options and recommendations for leadership Develop negotiation strategies based on trends, regulatory requirements/guidelines, and competitive markets Conduct detailed claims analysis to assess financial impact of proposed contract terms Analyze contract terms, reimbursement methodologies for all negotiations Implement best practices and process improvements for contract lifecycle management Possess a keen understanding of managed care contracting and related initiatives, as well as the underlying systems that support those initiatives. Identify and analyze user requirements, procedures, and problems to improve existing reimbursement and identify opportunities for improvement. Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations. Monitor market research on reimbursement benchmarks, network adequacy, and industry trends. Develop, share, and incorporate organizational best practices into business applications. Build and maintain strong relationships with providers, health systems, payers, and other partners Prepare high level reports summarizing negotiation status, outcomes, financial impact and strategic recommendations Provide strategic guidance to clients and/or leadership on trends such as value-based care, telehealth, and alternative payment models. Manage day to day client relationships while managing client expectations in line with budget and project objectives Assist Payer Relations Team in managing quality of the work product and interact directly with mid-level client contacts and above on engagement issues. Ability to deliver client reports within 30 days of a client meeting. Travel Requirements: Up to 50% Ovation will never contact applicants via Chatwork or any other messaging platform outside of our official channels. If you receive any communication claiming to be from Ovation through Chatwork or any unauthorized platform, please disregard it and report it to us immediately. Our official communication will always come from our company email domain or through recognized professional channels like LinkedIn. If you have any questions or concerns regarding the authenticity of a communication, please contact us directly at communications@ovationhc.com for verification. Headquartered in Brentwood, Tenn., Ovation Healthcare partners with 375+ hospitals and health systems across 47 states. For 45+ years, Ovation Healthcare has supported hospitals and health systems through a portfolio of shared services – Leadership Advisory, Spend Management, Revenue Cycle Management, and Technology Services– designed to provide scale and efficiency to hospital business operations.
Manage strategic healthcare accounts, drive value and savings, and build trusted relationships with C-suite executives. | Minimum 5+ years in strategic account management within healthcare, with knowledge of supply chain, data analysis tools, and leadership skills. | Welcome to Ovation Healthcare! At Ovation Healthcare, we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork. Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit https://ovationhc.com . Summary: The Senior Director, Client Engagement serves as the principle executive contact with Ovation’s Spend Management members. In this role, the Senior Director is responsible for working with strategic members, specifically the C-Suite and Executive Leadership, to drive value and savings to enhance their performance, as well as expanding Ovation Healthcare’s footprint with the member and driving growth. The ability to travel up to 60%, including overnight travel, is required for the role. Duties and Responsibilities: • Keeps the organization’s vision and values at the forefront of decision-making and action. • Ensures each assigned client achieves specific targets for organic growth, contract performance, compliance, conversions, renewal, savings, and strategic objectives. • Monitors key performance metrics and report progress to senior leadership team. • Establishes productive, professional, and consultative relationships with C-Suite, executive personnel throughout member organization, building credibility and trust through collaboration. • Moves strategic customers from current state to a trusted strategic partnership; formalize partnership through an agreement that is recognized across Ovation Healthcare and the account. • Leads executive business reviews to reinforce Spend Management value, demonstrate executed savings, and highlight progress on key initiatives. • Leads solution development efforts that best address customer needs, while coordinating the involvement of all necessary Ovation Healthcare personnel. • Proactively leads a joint company-strategic account planning process that develops mutual performance objectives, financial targets, and critical milestones for a one-to-three-year period that leads to a clear action plan for success. • Builds strategic partnerships with accounts to further advance company goals of revenue and margin enhancement. • Develops internal processes and initiatives to drive revenue growth and enhance productivity. • Identifies opportunities to promote and present other Ovation value added services, i.e. Leadership & Advisory, Revenue Cycle, & Technology Solutions. • Represents Ovation Healthcare at industry conferences and events – Provide executive presentations, as needed. • Contributes to organizational strategy by sharing client feedback and market intelligence. • Leads direct reports, as needed (i.e., Directors, Managers, Analysts, etc.) • Fosters a culture of collaboration, professional development, and continuous improvement. • Participate in prospective member (sales) presentations, as needed. Knowledge, Skills & Abilities: • Extensive knowledge of the healthcare industry, supply chain, group purchasing organizations (GPOs), clinical, and business personnel • Excellent communication and inter-personal skills; able to present and influence credibly and effectively at all levels of the organization including the C-Suite. • Provide consultative direction toward predetermined long-range goals and objectives, where assignments are often self-initiated. • Passion for results- able to drive high standards for self; tenaciously working to meet or exceed challenging goals. • Ability to demonstrate financial knowledge and business acumen. • Exceptional Project Management, communication, negotiation, and presentation skills. • Proven ability to successfully manage multiple projects and timelines. • Working knowledge of purchased services and capital equipment planning. • Supply Chain Processes - Demonstrated understanding of end-to-end supply chain processes. • Ability to effectively negotiate with a record of accomplishment of results. • Demonstrated ability to calculate figures and amounts such as savings, rebates, fees, and percentages, as well as analyze statistical and financial data. • Ability to understand and follow spreadsheets and contract language. • Strong organizational, problem-solving, and analytical skills; able to manage priorities and workflow with minimal direction. • Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm. • Ability to initiate tough conversations, effectively manage internal politics, and handle conflict in a healthy, relationship-building manner. • Must demonstrate executive presence and emotional intelligence, remaining calm and confident in challenging situations. • Ability to successfully manage a team. • Intimate understanding of all internal functions of both Ovation Healthcare and the accounts assigned. • Proven ability to identify and capitalize on cross-selling and upselling opportunities. • Excellent time management skills with ability to use independent judgment effectively. • Ability to execute, both independently and as a collaborate member of various teams and committees. Work Experience, Education, and Certifications: • Bachelor’s degree in business or management related field, MBA preferred. • Demonstrated understanding of group purchasing organizations and supply chain processes, acquired through 7+ years of experience. • Minimum 5+ years of strategic account management experience. • Skilled in coaching and mentoring leaders to build organizational bench strength. • Sales experience- prospecting, pipeline development, conversion not required but helpful. • Value analysis experience not required, but helpful. • Project management experience or knowledge. • Experience working with data analysis and visualization tools such as Microsoft PowerBI, Tableau, Microstrategies • Experience with Excel, Word, Outlook, and PowerPoint • CRM (Salesforce) experience preferred. • Ability to execute responsibilities in a hybrid work environment. Travel Requirements: • Travel up to 60%, including overnight travel, is required for the role. WORKING CONDITIONS AND PHYSICAL REQUIREMENTS: • Reliable high-speed internet connection is required for all remote/hybrid positions. • Must have access to stable Wi-Fi with sufficient bandwidth to support video conferencing, cloud-based tools, and other online work-related activities. • A HIPAA-compliant work environment is required, including a secure workspace free from unauthorized access or interruptions, no use of public Wi-Fi unless connected through a secure company-provided VPN, and #LI-Remote
Manage client relationships, lead contract negotiations, analyze data for contract performance, and develop strategic recommendations. | Healthcare experience, managed care or payer relations experience, strong negotiation and analytical skills, proficiency in Microsoft Office. | Welcome to Ovation Healthcare! At Ovation Healthcare (formerly QHR Health), we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare’s vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork. Ovation Healthcare’s corporate headquarters is located in Brentwood, TN. For more information, visit www.ovationhc.com . Summary: The Senior Consultant of Payer Relations, under the direction of the VP, Payer Relations, is responsible for the client relationship with a select group of client hospitals. The client relationship responsibilities include service and support as the primary liaison between the hospital and managed care payers. The individual will provide written assessments of proposed managed care agreements as well as contract negotiation and support. Additional duties include but are not limited to assisting clients with payer communication and administrative issues, delivery of educational programs for clients, coordinating the development of contract models and maintaining a customer database of activity. This position will participate in client engagements in support of the project team and prepare and present client deliverables. Duties and Responsibilities: • Responsible for the engagement life cycle and its relationship to project activities while producing client ready deliverables. • Leads negotiation of provider and payer ensuring alignment with organizational goals and financial targets • Leads complex contract initiatives, including new provider network, negotiation cycles, or service expansions • Review and analyze data for contract administration – evaluate the profitability of contract renewals/existing contracts • Work with Payer Relations Team to establish a work plan, set priorities, organize tasks, resource needs and recommend appropriate methodologies, tools and resources to optimize project profitability. • Develop and maintain resource materials/tools for clarification of contracts (language templates) • Responsible for managing client expectations in line with budget and project objectives. • Assist with updates to the Contract Tracker, Contract matrices, Client Agendas and other documents used to communicate project status and updates with the clients. • Ensure annual escalators from payers are requested, validated, updated in the Contract Matrix, and shared with hospital staff. Knowledge, Skills, and Abilities: • Proven track record of achieving goals and objectives as it relates to managed care contracting • Intermediate level of analytical skills and experience • strong communication skills: ability to interact with multiple levels of clients (ie hospital/physicians/payor plans/corporate staff) • Proficient in Microsoft applications- Word/Access/Excel • Intermediate level Excel experience (pivot tables, V-lookup’s, etc) • Critical thinking and problem-solving abilities Work Experience, Education, and Certifications: • BS/BA preferred in a related field or relevant experience is desired. • Understanding of Medicare/Medicaid government contracting, reimbursement, and regulations • Healthcare experience required. • 3-5 Managed Care and/or Payer Relations experience required. • Experience working in a managed care environment for a healthcare delivery system (Professional or Facility managed care experience in this environment is sufficient). • Possess strong negotiating skills with a successful track record negotiating contracts with individuals, groups, complex systems. Knowledge, Skills, and Abilities: • Track contract performance post contract execution and recommend adjustments as needed (i.e, chargemaster increases, etc) • Maintain accurate documentation of any negotiations, contract versions, and final agreements • Prepare negotiation, assist with financial models, complete analysis and strategy options and recommendations for leadership • Develop negotiation strategies based on trends, regulatory requirements/guidelines, and competitive markets • Conduct detailed claims analysis to assess financial impact of proposed contract terms • Analyze contract terms, reimbursement methodologies for all negotiations • Implement best practices and process improvements for contract lifecycle management • Possess a keen understanding of managed care contracting and related initiatives, as well as the underlying systems that support those initiatives. • Identify and analyze user requirements, procedures, and problems to improve existing reimbursement and identify opportunities for improvement. • Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations. • Monitor market research on reimbursement benchmarks, network adequacy, and industry trends. Develop, share, and incorporate organizational best practices into business applications. • Build and maintain strong relationships with providers, health systems, payers, and other partners • Prepare high level reports summarizing negotiation status, outcomes, financial impact and strategic recommendations • Provide strategic guidance to clients and/or leadership on trends such as value-based care, telehealth, and alternative payment models. • Manage day to day client relationships while managing client expectations in line with budget and project objectives • Assist Payer Relations Team in managing quality of the work product and interact directly with mid-level client contacts and above on engagement issues. • Ability to deliver client reports within 30 days of a client meeting. Travel Requirements: • Up to 50%
The Specialist, Revenue Recovery will analyze client accounts for potential denials or underpayments and conduct investigations into technical denials. They will also collaborate with Clinical Appeals Specialists and Certified Coders to resolve complex payment issues and contribute to performance reports. | Candidates should have a strong understanding of the healthcare revenue cycle and at least 2 years of experience in healthcare accounts receivable or revenue cycle resolution. A high school diploma is required, with an associate's or bachelor's degree preferred. | DUTIES AND RESPONSIBILITIES: Denial and Underpayment Analysis: Utilize the Health Innovas "Pulse" platform to systematically review client accounts flagged for potential denials or underpayments. Conduct deep-dive investigations into technical denials, including those related to eligibility, registration errors, missing authorizations, and other administrative issues. Analyze explanation of benefits (EOBs) and compare actual payments against modeled payer contracts to precisely identify and quantify contractual underpayments. Resolution and Recovery: Correct data errors and resubmit claims in a timely manner to resolve technical denials. Prepare detailed documentation and justification to support underpayment appeals and resolution efforts. Collaborate with Clinical Appeals Specialists (RNs) and Certified Coders by gathering necessary documentation for complex clinical and coding-related denials. Process Improvement and Reporting: Diagnose the root cause of each denial and underpayment to identify trends by payer, service line, and denial reason. Meticulously document all actions, findings, and communications within the Pulse platform to ensure a clear audit trail and support team collaboration. Contribute to performance reports that provide actionable insights to both internal leadership and clients, helping to prevent future revenue leakage. Team Collaboration: Serve as a key resource for resolving complex payment issues, working alongside Payer Contract Specialists and Denial Management leadership. Participate in ongoing training to master the Pulse platform and stay current on evolving payer rules and denial trends. KNOWLEDGE, SKILLS, AND ABILITIES: Strong foundational understanding of the healthcare revenue cycle, including claims submission, remittance processing, and follow-up. Demonstrated analytical and critical thinking skills with a high level of attention to detail. Excellent written and verbal communication skills, with the ability to clearly and concisely document account activity. Proficient with computers and technology, with an aptitude for quickly learning and mastering new software platforms. Prior experience specifically in denial analysis or underpayment identification. Familiarity with reading and interpreting payer contracts and fee schedules. Experience working within various payer portals and systems. WORK EXPERIENCE, EDUCATION AND CERTIFICATIONS: High School Diploma or equivalent required, Associate's or Bachelor's degree in a related field preferred. Minimum of 2+ years of experience in healthcare accounts receivable (AR), hospital billing, or revenue cycle resolution. Experience working within various payer portals and systems. WORKING CONDITIONS AND PHYSICAL REQUIREMENTS: 100% Remote Reliable high-speed internet connection is required for all remote/hybrid positions. Must have access to stable Wi-Fi with sufficient bandwidth to support video conferencing, cloud-based tools, and other online work-related activities. A HIPAA-compliant work environment is required, including a secure workspace free from unauthorized access or interruptions, no use of public Wi-Fi unless connected through a secure company-provided VPN, and compliance with all applicable HIPAA privacy and security regulations. Ovation will never contact applicants via Chatwork or any other messaging platform outside of our official channels. If you receive any communication claiming to be from Ovation through Chatwork or any unauthorized platform, please disregard it and report it to us immediately. Our official communication will always come from our company email domain or through recognized professional channels like LinkedIn. If you have any questions or concerns regarding the authenticity of a communication, please contact us directly at communications@ovationhc.com for verification. Headquartered in Brentwood, Tenn., Ovation Healthcare partners with 375+ hospitals and health systems across 47 states. For 45+ years, Ovation Healthcare has supported hospitals and health systems through a portfolio of shared services – Leadership Advisory, Spend Management, Revenue Cycle Management, and Technology Services– designed to provide scale and efficiency to hospital business operations.
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