Director - Managed Care

Why work at TidalHealth?

Looking for a rewarding place to work? Choose TidalHealth. U.S. News & World Report, a global authority in hospital rankings and consumer advice, has named TidalHealth Peninsula Regional and TidalHealth Nanticoke as 2022-2023 High Performing hospitals for 11 challenging and elective health conditions; the highest award a hospital can earn for U.S. News’ Best Hospitals Procedures & Conditions ratings. Located just 30 minutes from the beach, TidalHealth offers the widest array of specialty and subspecialty services such as neurosurgery, cardiothoracic surgery, joint replacement, emergency/trauma care, comprehensive cancer care, wound care and clinical trials and research. Take advantage of our tuition assistance and scholarship programs to grow both personally and professionally.

Director of Managed Care Position Summary

The Director of Managed Care and the ACO plans, directs, and implements all aspects of TidalHealth's payor strategy and contracting, develops systems for improved financial performance and patient care in the context of payor contractual relationships, and directs development and maintenance of programs, procedures, and processes which assure cost effective, quality services to patients and other customers who come to TidalHealth as a result of its managed care contractual relationships. This position also is responsible for payor credentialing for the organization.

Director of Managed Care Position Requirements

• Master's Degree in Business or Health Administration.
• Seven (7) plus years of progressive experience in a managed care setting, contract negotiations, and provider network development

Director of Managed Care Schedule

• Primarily day shift, Monday through Friday.
• May be required to work evenings and weekends as needed.

Director of Managed Care Benefits

• At TidalHealth, team members working at least 36 hours per pay period based on 12-hour shift schedules or at least 37.5 hours for non 12-hour shift schedules and part-time team members working at least 30 hours or more on weekends only are eligible for benefits.
• Benefits include medical, prescription, vision, dental, flexible spending accounts, disability insurance plans, life insurance, paid time off plans, retirement plans, tuition assistance, employee assistance, and access to on-site childcare and a credit union.