Manager, Managed Care

Sarasota Memorial Health Care System•Sarasota, FL

17h

About The Position

This leader has operational accountability and oversight, and manages the daily operational contract management activities of the Managed Care department. In this role, the leader sets the tone and models positive leadership behavior, while ensuring successful completion of teamwork tasks, projects, and responsibilities in support of departmental and organizational goals.

Requirements

Require a bachelor’s degree in business, accounting, finance, or other relevant field of study. Master's degree is preferred.
Require a minimum five (5) years of managed care contracting experience or two (2) years of managed care leadership experience in a similar size healthcare system or large healthcare payer.

Nice To Haves

Prefer demonstrated knowledge of all aspects of a health care delivery system, industry contracting practices and administration, and contract analysis.
Prefer the ability to build and maintain effective relationships with payors and leverage interpersonal influences to achieve organizational goals.
Prefer the ability to build strong relationships and deliver high quality service to all internal and external customers.
Prefer demonstrated proficiency in PC-based software, the ability to instruct staff on complex analysis, and develop complex reports.
Prefer demonstrated organizational and time management skills to maximize productivity and outcomes.
Prefer demonstrated written and oral communication skills, to include composing contract language correspondence, patient correspondence and reports.
Prefer the ability to provide leadership and mentoring by guiding individuals and teams towards desired outcomes, setting high performance standards and delivering industry-leading quality services.
Prefer demonstrated experience with negotiation of contracted rates and language including redlining of contracts.
Prefer proficiency in payment methodologies such as DRG, APR-DRG, Case Rates, EAPG, Per Diems, and Fee Schedules.

Benefits

Paid Time Off (start earning PTO on day one of employment)
Tuition Reimbursement
Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time Employees
Flexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax Dollars
Life Insurance
Competitive rates
Bonuses offered
Disability Insurance
Retirement Savings Plan: 403b
Sarasota Campus for now - Discounted Child Care & Before and After School Program and Summer Camp!
Bereavement Leave
Free Parking
On Campus Dining w/ a 10% discount
Credit Union w/ teller machines on campus
Direct Deposit
Free Wellness Screening
Free confidential counseling services
Employee Discount Programs
Recognition Programs
Referral Programs
Tremendous growth opportunities for hard workers!