Director Of Managed Care

Fresenius Medical Care

Nashville, Tennessee, United States
Contract negotiation with managed care organizations
P&l responsibility in outpatient facility setting
Credentialing process management
The role directs strategic planning and implementation of managed health care programs including HMOs, PPOs, and POS

Job Summary

  • The role directs strategic planning and implementation of managed health care programs including HMOs, PPOs, and POS.
  • Responsibilities include negotiating contractual relationships with third-party payors and managing clinical and financial reporting obligations.
  • The position requires overseeing credentialing processes and developing regional marketing plans to support growth and profitability.

Matching Summary

The role directs strategic planning and implementation of managed health care programs including HMOs, PPOs, and POS.

Skills & Requirements

Must-have

  • Contract negotiation with managed care organizations
  • P&L responsibility in outpatient facility setting
  • Credentialing process management
  • Clinical and financial reporting obligations
  • Regional marketing strategy development

Nice-to-have

  • Advanced degree in business or health management
  • Experience as a Manager preferred
  • Strong oral and written communication skills
  • Ability to manage databases and provide analysis

Key Requirements

  • Bachelor's Degree in Business or Health Management required
  • 6-8 years direct experience in contract negotiation
  • Operational experience in multiple site outpatient facility setting
  • Profit and loss responsibility experience
  • 3+ years experience as a Manager preferred

Work Rights

Not specified

Tailored Resume

Cover Letter