general-category

Director Managed Care – Managed Care Contracting, FT – Days

Director Managed Care – Managed Care Contracting, FT – Days

general-category

* Conducts complex negotiations on all contractual provisions of major national managed care payers for facilities, ancillary & professional services of integrated delivery system and clinically integrated network. Implements strategic initiatives to achieve organizations and departments goals.

1. Conducts complex language and financial analysis with major national payors. Deploys contract strategy for hospitals, ancillaries, physician and other professional services. Implements legal, financial & business requirements & objectives through negotiations.

2. Initiates the managed care plan, operations, obligations & responsibilities inter-departmentally throughout Memorial Healthcare System. Communicates and resolves issues.

3. Seeks and initiates new business opportunities (relationships, pricing, services, structures, operations, quality). Implement strategies and operations to protect and build market share.

4. Directs department operations, activities, resources to meet budget and goals.

5. Plans and monitors activities and staff including hiring, orienting, training, mentoring, continuing education, evaluating, coaching & disciplinary actions of supervised staff members.

Job Details

Job Category:
Management

Facility:
Memorial Support Services

Requisition Number:
62454BR

Location:
Miramar
, FL

Work Shift:
Full Time Days

Shift Hours:
8:30-5:00

In order to be eligible for any sign-on bonus (as designated on the job posting) you must have a minimum of one year of experience in that area of specialty. Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.

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