Manager, Managed Care

Adventist Health • Roseville, CA

1d

About The Position

Located in the metropolitan area of Sacramento, the Adventist Health corporate
headquarters have been based in Roseville, California, for more than 40 years.
In 2019, we unveiled our WELL-certified campus - a rejuvenating place for
associates systemwide to collaborate, innovate and connect.

Adventist Health Roseville and shared service teams have access to enjoy a
welcoming space designed to promote well-being and inspire your best work.

Job Summary:

Manages and supports regional managed care contracting and recovery activities.
Negotiates health plan (managed care) contracts with payers as assigned across
the system. Supervises and directs the activities of various levels of assigned
personnel using both professional and supervisory discretion and independent
judgment.

Requirements

• Bachelor's Degree or equivalent combination of education/related experience: Required

Nice To Haves

• Master's Degree
• Five years' technical experience
• One year's leadership experience

Responsibilities

• Reviews and evaluates contract performance models for renewal/ renegotiation.
• Maintains responsibility for contract implementation, internal and external in-servicing of contract terms.
• Supports executive management in negotiations and revenue recovery activity with payers.
• Coordinates and facilitates Joint Operations Meetings with payers and affiliated partners.
• Collaborates with management and top professionals/specialists in selection of methods, techniques and analytical approach.
• Provides day-to-day technical leadership while performing escalated or complex duties.
• Provides oversight of employees within the work group using advanced technical skills.
• Conducts performance reviews and provides input on direct reports for human resource decisions such as hiring, promotions and disciplinary actions.
• Participates in the development of employees.
• Maintains responsibility for adherence to budget for specific projects.
• Participates in the preparation of the department budget.
• Performs other job-related duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 5,001-10,000 employees