AdventHealth
Director of Managed Care- Texas
AdventHealth, Maitland, Florida, us, 32794
All the benefits and perks you need for you and your family:
· Benefits from Day One
· Career Development
· Whole Person Wellbeing Resources
· Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Job Location: Monday-Friday - This position is based in Killeen, Texas.
The role you’ll contribute:
The Director of Managed Care is the primary contact in managed care opportunities, negotiating contracts, problem solving and providing resolutions related to healthcare payers. Identifies opportunities for facility to assist in meeting the healthcare needs of the industry, develops a plan, implements plan and evaluates effectiveness on a regular basis.
The value you’ll bring to the team:
• Maintains positive relationships with all entities and managed care organizations and local employers.
• Facilitates the understanding of managed care contracts and terms within the hospital departments, home care, EMS, physician practices and any other related legal entity.
• Continually re-evaluating managed care contracts, analyzing for market share, strategic opportunities, profitability, and competitiveness.
• Negotiate contract language terms and rates timely and when appropriate.
• Monitoring the financial, operational, and strategic impact of each managed care relationship to identify areas for improvement.
• Working with each billing department on managed care claim issues.
• Working with and assisting the CFO with operational or special projects, which include the annual budget templates and market summary overviews.
Qualifications
The expertise and experiences you’ll need to succeed:
KNOWLEDGE AND EXPERIENCE STRONGLY PREFERRED
· Computer skills, Microsoft Office, telephone
KNOWLEDGE AND EXPERIENCE PREFERRED:
• Excel, PowerPoint, state statue
EDUCATION AND EXPERIENCE REQUIRED:
· Bachelor's degree in business administration in healthcare related field strongly preferred.
· A minimum of five years of health care leadership experience required in managed care with an emphasis on contracting, contract administration and strategic planning for hospital, ancillary and physician services
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Managed Care
Organization: AdventHealth Corporate
Schedule: Full-time
Shift: 1 - Day
Req ID: 24034523
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
· Benefits from Day One
· Career Development
· Whole Person Wellbeing Resources
· Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Job Location: Monday-Friday - This position is based in Killeen, Texas.
The role you’ll contribute:
The Director of Managed Care is the primary contact in managed care opportunities, negotiating contracts, problem solving and providing resolutions related to healthcare payers. Identifies opportunities for facility to assist in meeting the healthcare needs of the industry, develops a plan, implements plan and evaluates effectiveness on a regular basis.
The value you’ll bring to the team:
• Maintains positive relationships with all entities and managed care organizations and local employers.
• Facilitates the understanding of managed care contracts and terms within the hospital departments, home care, EMS, physician practices and any other related legal entity.
• Continually re-evaluating managed care contracts, analyzing for market share, strategic opportunities, profitability, and competitiveness.
• Negotiate contract language terms and rates timely and when appropriate.
• Monitoring the financial, operational, and strategic impact of each managed care relationship to identify areas for improvement.
• Working with each billing department on managed care claim issues.
• Working with and assisting the CFO with operational or special projects, which include the annual budget templates and market summary overviews.
Qualifications
The expertise and experiences you’ll need to succeed:
KNOWLEDGE AND EXPERIENCE STRONGLY PREFERRED
· Computer skills, Microsoft Office, telephone
KNOWLEDGE AND EXPERIENCE PREFERRED:
• Excel, PowerPoint, state statue
EDUCATION AND EXPERIENCE REQUIRED:
· Bachelor's degree in business administration in healthcare related field strongly preferred.
· A minimum of five years of health care leadership experience required in managed care with an emphasis on contracting, contract administration and strategic planning for hospital, ancillary and physician services
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Managed Care
Organization: AdventHealth Corporate
Schedule: Full-time
Shift: 1 - Day
Req ID: 24034523
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.