Managed Care Manager - Contracts - Ft - Days - Mhs

Memorial Healthcare System

Hollywood, Florida, USA
On-site
Managed care payor management
Contracting - managed care payors
Financial analysis and forecasting
Corporate level manager responsible for deploying and contributing to strategic and tactical initiatives for negotiations with national and regional payors

Job Summary

  • Corporate level manager responsible for deploying and contributing to strategic and tactical initiatives for negotiations with national and regional payors.
  • Manages execution of contracting initiatives for integrated delivery system 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, implementing appropriate financial reimbursement models, and supporting operations by collaborating with clinical and operational staff to preserve revenue and address payer imposed challenges.

Matching Summary

Corporate level manager responsible for deploying and contributing to strategic and tactical initiatives for negotiations with national and regional payors.

Skills & Requirements

Must-have

  • Managed care payor management
  • Contracting - Managed Care Payors
  • Financial analysis and forecasting
  • Negotiating contract provisions
  • Healthcare regulatory environment

Nice-to-have

  • Leading change initiatives
  • Building a business case
  • Managing business priorities
  • Responding to change

Key Requirements

  • 5 years contracting experience
  • 3 years contracting for hospital, professional services, ancillary facilities or specialty networks
  • Bachelors Degree

Work Rights

Not specified

Tailored Resume

Cover Letter