VP of Managed Care

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Salary: $150,000 - $200,000 per year

We are representing a healthcare group that is rapidly growing throughout the North and South East!

They are seeking a VP of Managed Care who is looking to grow within an organization and who will work alongside the CFO and CEO.

This position is remote but ideally someone who is willing to travel to Cincinnati

• Competitive salary!

• 401(k) plan with matching!

• 25% Bonus!

• Health, vision, and dental insurance!

• Remote work schedule!

• Upwards career growth!

Job Details:

Our reputable healthcare organization is actively searching for a dedicated, innovative, and experienced individual to fill the role of Permanent VP of Managed Care. This executive position requires a strategic thinker who can effectively oversee and manage the operations of our managed care department. The successful candidate will play a pivotal role in developing and implementing managed care strategies, negotiating contracts, and ensuring the highest quality of care for our patients.

Responsibilities:

• Develop and implement strategic plans for managed care department to align with the overall goals of the organization.
• Negotiate contracts with health insurance providers to ensure the best possible coverage for our patients.
• Oversee the administration of managed care programs, ensuring compliance with all applicable laws and regulations.
• Collaborate with other department heads and executives to develop and implement strategies to increase revenue and improve patient outcomes.
• Analyze data to identify trends, make recommendations, and predict future needs.
• Develop and maintain relationships with stakeholders, including insurance providers, healthcare professionals, and patients.
• Oversee the recruitment, training, and development of managed care staff.
• Participate in the development of budgets and financial strategies for the managed care department.
• Ensure the managed care department operates efficiently and effectively, delivering the highest quality of care to our patients.

Qualifications:

• Bachelor's degree in Healthcare Administration, Business, or a related field. An advanced degree is preferred.
• A minimum of 5 years of executive-level experience in managed care or a related healthcare field.
• Proven experience in strategic planning and execution.
• Familiarity with Simplr and other relevant software.
• Demonstrated ability to negotiate contracts and manage relationships with health insurance providers.
• Strong financial acumen, with experience in revenue generation and budgeting.
• Excellent leadership skills, with the ability to inspire and motivate a team.
• Exceptional communication skills, both written and verbal.
• In-depth understanding of healthcare laws and regulations related to managed care.
• Proven ability to analyze data, identify trends, and make strategic recommendations.
• Strong commitment to providing the highest quality of care to our patients.

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