Why Join our Team? At Vallen, we embrace what makes us unique. We thrive on the diversity of our associates and the different ways each of us contributes to Vallen's success. We pride ourselves on being an inclusive company that values the growth of our associates. When you join Vallen, you become part of our winning team. Our vast network of connections is here to help y

Support network pricing strategies and tactics, in collaboration with local network field leaders and network managers Analyze financial impact of provider contracts (e.g., facility; physician; ancillary) Analyze payment appendices to provide options for various contracting approaches and methodologies Communicate results of financial impact and analysis to appropriate st

Manages the assignment of losses to claims staff and provides technical direction and ongoing guidance through effective diary management. Ensures timely, accurate documentation of claim activity. Selects, trains, coaches and mentors unit personnel. Plans staff responsibilities and directs activities, utilizing staff resources effectively to meet department goals in accor

Maintain a thorough understanding of current CRA regulations, guidelines, and reporting requirements to ensure accurate and timely compliance. Serve as the primary point of contact for all communications with regulatory agencies and internal stakeholders related to CRA compliance. Collaborate with internal teams, including legal, compliance, audit, risk management, and co

Responsible for managed care portfolio performance for assigned payors. Work with Management on implementation of contracting strategy for the System. Independently negotiate contract language and rates for minor payors, or major payors when the scope of the negotiation is limited. Negotiate payor agreements with Director/AVP support. Monitor contract performance versus e