Manager of Managed Care and Contracting

CommuniCare Health Services

1d•Remote

About The Position

The CommuniCare Family of Companies is a fast-growing provider of long-term care with facilities located throughout 7 states. Our health care centers include over 100 skilled nursing facilities, 5 behavioral health hospitals, 3 substance abuse treatment centers, outpatient behavioral health services, and a transportation company. All our centers are dedicated to the CommuniCare goal of creating Caring Communities where staff, residents, patients, and families join hands to overcome their daily challenges. CommuniCare is currently looking to fill a key position, Manager of Managed Care and Contracting, for Skilled Nursing / Home Health and Hospice. Remote Position PURPOSE/BELIEF STATEMENT The Manager of Managed Care and Contracting is responsible for securing managed care contracts for Skilled Nursing / Home Health and Hospice. The Manager is responsible for full-managed care contract life-cycle support, including negotiations of new business and revenue development through continued clinical integration and market expansion. This position reports to the Corporate Director of Contracting & Managed Care. WHAT WE OFFER CommuniCare employees enjoy competitive market salaries, PTO plans, and a robust benefits package for full time employees. Our ‘perks at work’ include healthcare plans, life/family balance, education and leadership opportunities, and employee recognition and rewards. Since 1984, CommuniCare Family of Companies has been committed to delivering exceptional person-centered care as a national leader in post-acute care for those that are chronically ill or have complex conditions. Our more than 150 skilled nursing, assisted living, and long-term care facilities deliver sophisticated and transformative care to nearly 16,000 residents and patients at any given time. CommuniCare employs more than 19,000 employees across six states (Ohio, Indiana, Maryland, Virginia, West Virginia and Pennsylvania). As a family owned and operated company, family and heart are woven into every aspect of our continuum of care. Our mission, to serve with pride, is evident and a quality residents, families and community partners have come to expect and trust. Dedicated to improving the lives of seniors, we put extraordinary service above all else. We continue to raise the bar and innovate wherever possible to deliver a higher quality of life for those far beyond our facilities. Because of this, our facilities are a better place for residents to live, patients to stay, employees to work and families to heal.

Requirements

Experience with skilled nursing facilities and home health and hospice contracts.
Knowledge and relevant work experience in the Managed Care/insurance sectors including network planning/development, contract negotiations, etc.
Presentation experience, excellent written and verbal communication skills
Proficient knowledge of medical-contracting methodologies, claims pricing, and reimbursement strategies.
Independent thinking and decision-making skills.
Strong analytical and problem-solving skills with attention to detail.
Proficient computer skills and knowledge of Microsoft Office, specifically Excel.
Ability to prioritize and manage multiple projects.
Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction.

Responsibilities

Develop and implement strategic plan regarding payors.
Renegotiate reimbursement on an annual basis.
Oversee and leverage existing payor relationships.
Identify the objectives necessary for our company to succeed as a health care system.
Provide support and education related to managed care
Train and educate on Managed Care and serve as a subject matter expert on contract and reimbursement-related issues impacting our industry.
Position may also be assigned to direct supervise certain employee/s.