Director - Managed Care - Ft Days - Mhs

Memorial Healthcare System

Hollywood, Florida, USA
On-site
Enterprise-wide strategic initiatives
Complex payor negotiations
Contracting for integrated delivery systems
The Memorial Healthcare System is seeking a Director of Managed Care to lead strategic initiatives and complex negotiations with payors in Hollywood, Florida. The ideal candidate will have extensive experience in managed care contracting, particularly within the healthcare industry, and will be responsible for enhancing revenue and operational performance

Job Summary

  • Corporate-level leader responsible for executing enterprise-wide strategic and tactical initiatives for complex negotiations with major national and regional payors.
  • Manages execution of contracting initiatives for integrated delivery system and clinically integrated network to drive positive financial trend and to achieve an appropriate market price point on behalf of health system's acute care, ancillary and professional providers.
  • Responsible for securing negotiations of all contractual provisions, evaluating and implementing appropriate financial reimbursement models and supporting operations by collaborating with clinical and administrative leadership to enhance revenue and address payer imposed challenges.

Matching Summary

Match Score: 85

The Memorial Healthcare System is seeking a Director of Managed Care to lead strategic initiatives and complex negotiations with payors in Hollywood, Florida. The ideal candidate will have extensive experience in managed care contracting, particularly within the healthcare industry, and will be responsible for enhancing revenue and operational performance.

Skills & Requirements

Must-have

  • Enterprise-wide strategic initiatives
  • Complex payor negotiations
  • Contracting for integrated delivery systems
  • Financial reimbursement models
  • Revenue enhancement and payer challenges

Nice-to-have

  • Collaboration with clinical leadership
  • Market share protection and growth
  • Adaptability to healthcare reform

Key Requirements

  • Bachelors degree in a job related field
  • 7 years managed care contracting experience
  • Emphasis on facility contracting
  • Payer and provider experience preferred

Work Rights

Not specified

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