The Director, Managed Care is responsible for managing health plan contracts and relationships for all Guthrie hospitals and providers under the direction of the Vice President, Managed Care
Job Summary
The Director, Managed Care is responsible for managing health plan contracts and relationships for all Guthrie hospitals and providers under the direction of the Vice President, Managed Care.
This role involves negotiating contracts, performing revenue recovery audits, ensuring compliance with contract provisions, and monitoring contract financial performance and value-based payment programs.
Guthrie is a non-profit, integrated, practicing physician-led organization committed to serving the community with a multi-specialty group practice offering a wide range of medical education programs.
Matching Summary
The Director, Managed Care is responsible for managing health plan contracts and relationships for all Guthrie hospitals and providers under the direction of the Vice President, Managed Care.
Skills & Requirements
Must-have
managed care contracting experience
health plan contract negotiation
reimbursement analysis expertise
contract performance monitoring
revenue recovery audits
value-based payment programs
Nice-to-have
collaborative relationship building
training and education delivery
contract management tools proficiency
analytical approach to revenue recovery
Key Requirements
Bachelor’s degree required
Masters preferred in healthcare administration or related field
Minimum five years managed care contracting experience
Experience with health system or health plan reimbursement analysis