Director Of Managed Care

The Pines at Placerville Healthcare Center

Base: $110,000-$150,000 annually; bonus/equity: no...
Managed care contract negotiation
Snf operations knowledge
Multi-state payer relationships
The role involves directing all aspects of managed care including maintaining relationships with existing plans and identifying new payers

Job Summary

  • The role involves directing all aspects of managed care including maintaining relationships with existing plans and identifying new payers.
  • Candidates will negotiate contract rates and terms while monitoring SNF performance against plan requirements like ALOS and Star Ratings.
  • PACS offers a comprehensive benefits package including health coverage, generous PTO, 401(k) contributions, and an Employee Assistance Plan.

Matching Summary

The role involves directing all aspects of managed care including maintaining relationships with existing plans and identifying new payers.

Salary

Base: $110,000-$150,000 annually; Bonus/Equity: Not specified; Benefits: Medical, dental, vision, HSA/FSA, 401(k), PTO, EAP

Skills & Requirements

Must-have

  • Managed care contract negotiation
  • SNF operations knowledge
  • Multi-state payer relationships
  • Financial strategy execution
  • Claims issue resolution

Nice-to-have

  • Self-motivated project management
  • Influence without direct authority
  • Compassionate care culture alignment
  • Strategic business development insight

Key Requirements

  • Bachelor's Degree in business or healthcare
  • Minimum 5 years healthcare experience
  • 3 years managed care experience
  • Knowledge of state and federal reimbursement laws
  • Understanding of VA and Workers Compensation rules

Work Rights

Not specified

Tailored Resume

Cover Letter