Managed Care Senior Manager - FT - Days - MHS

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.

Requirements

• Execute, contribute and manage complex legal, financial and operational contract language negotiations in concert with the Director of Managed Care or independently as applicable to the negotiation.
• Plan and monitor activities of staff and team members including hiring, orienting, training, mentoring, continuing education, evaluating, coaching and disciplinary actions, as applicable.
• Enhance, estimate and preserve net revenues.
• Determine root cause and seek resolution.
• Evaluate payor assessments of overpayments and effectively dispute or resolve for settlement.
• Respond to insurance industry activities, healthcare reform, payer strategies, emerging market demands and legislative considerations and changes to the managed care industry to maintain and competitive position.

Benefits

• Generous Paid Time Off
• 401k Matching
• Retirement Plan
• Healthcare