Director of Managed Care Contracting & Operations

University of Florida Health • Gainesville, FL

84d

About The Position

The Director, Contracting & Operations is responsible for providing guidance and leadership to the Managed Care Account Management and Population Care Management teams for the Gainesville campus. Responsible for direct oversight of Managers, Analysts, Coordinators, Systems Specialists, and others who may function in an Assistant capacity, including those that manage provider enrollment, websites, case agreements, and newsletter processes.

Requirements

• BS or BA degree in business or health care field
• 5 to 7 years of experience in managed care industry - whether payor or provider-related, with direct supervisory experience
• In lieu of a BS or BA degree, the candidate must have an AA degree and 7 to 9 years of experience, or a high school diploma with 9 to 10 years of experience
• Experience with contract review and financial negotiation
• Knowledge of financial analysis methods (including payor and provider pricing, actuarial risk analysis, and premium development)
• Experience in managing projects and work product of other professional-level personnel

Responsibilities

• Interface with other operational areas and build strategic relationships between ones' area and other areas
• Manage managed care contracting, including but not limited to value based and pay for performance contracting, and population health initiatives
• Position SUFHCN as a major referral institution for the state of Florida and as the dominant health care provider within its local service area and surrounding core counties
• Ensure the operational efficiency of existing contracts
• Work with the Assoc. Vice President of Managed Care in determining payor contracting strategies, negotiating contracts, policy development, departmental goals, and planning
• Prioritize and direct the workload of staff and initiate and coordinate contract negotiations activity across functional areas
• Ensure contract implementation, execution, and improved contract operational and financial performance

What This Job Offers

• Career Level: Senior
• Industry: Hospitals
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees