Director, Managed Care

Job Title

Responsible for the overall operational effectiveness of the team. Actively assists VP with managed care contracts and negotiations. Develops a communication process due to issues, problems, and concerns across the system and leads both internal and external discussions to get issues resolved.

Key Accountabilities

• Responsible for the overall integrity and effectiveness of the software system, load, audits, and communications with Vendor.
• Participates actively in negotiations and administration of contracts. Including but not limited to : auditing contract simulations, review of and assisting VP with contract language, providing input and ideas into methodology, ensuring processes are in place to minimize problems that may occur with contracts while assisting all departments with concerns.
• Responsible for coordination and facilitation of issues and concerns across the system for all managed care / third party. Includes but not limited to : oversight of monthly meetings with all payors, coordination of issue logs, central point of contact for regarding payors for all areas : hospitals, physicians, CPA lab, behavioral health, and pharmacy.
• Responsible for management and supervision of team.

Qualifications

Required : Three years in managed care or revenue cycle- Bachelor Degree

Desired : One year in third party payor contracting- Master Degree

Norton Healthcare is an Equal Opportunity Employer M / F / Disability / Veteran / S Exual Orientation / Gender Identity Equal Employment Opportunity is the Law