Director Of Managed Care Operations

UMass Memorial Health

United States
Base: $101,025.60 - $181,854.40; bonus: signing bo...
10 years managed care experience
Health plan and hospital environment knowledge
Clinical operations and terminology expertise
The Director serves as the primary system-wide liaison to managed care plans ensuring seamless communication and operational alignment

Job Summary

  • The Director serves as the primary system-wide liaison to managed care plans ensuring seamless communication and operational alignment.
  • This role leads the implementation of new payment models and oversees resolution of complex operational issues across the UMass Memorial Health system.
  • Candidates must have a minimum of 10 years of experience in a managed care setting with deep knowledge of clinical operations and healthcare terminology.

Matching Summary

The Director serves as the primary system-wide liaison to managed care plans ensuring seamless communication and operational alignment.

Salary

Base: $101,025.60 - $181,854.40; Bonus: Signing bonus potentially available; Benefits: Not specified

Skills & Requirements

Must-have

  • 10 years managed care experience
  • Health plan and hospital environment knowledge
  • Clinical operations and terminology expertise
  • Managed care policy understanding
  • Team leadership and supervision skills

Nice-to-have

  • Master's degree in Healthcare Administration
  • Experience with risk-based payment models
  • Dual Eligible Demonstration Project knowledge
  • Strong negotiation and relationship-building skills
  • Commitment to diversity and inclusion

Key Requirements

  • Bachelor's degree required; Master's preferred
  • Minimum 10 years in managed care setting
  • Experience in both health plan and hospital environments
  • Demonstrated leadership managing complex operational functions

Work Rights

Not specified

Tailored Resume

Cover Letter