MC Care Cntrct Administrator - Baybrook Office - Full-Time

UTMB Health•Friendswood, TX

8d•Onsite

About The Position

The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD). JOB SUMMARY : Markets goods and services to organizations that can direct patients to UTMB and negotiates contracts for such goods and services. The scope is to impact patient census.

Requirements

Bachelor's degree in Business, Healthcare, or related field.
Three (3) years of management or administrative experience in a managed care organization, academic healthcare provider, or public sector.

Responsibilities

Presents Managed Care Programs to various payor organizations.
Negotiates contracts with organizations that can direct patients to UTMB.
Prepares proposals and conducts follow-up contacts.
Performs contract analyses and submits recommendations for amendments, terminations, changes, etc.
Negotiates and finalizes contract language revisions and financial provisions through telephone conversation and personal meetings with representatives of payors.
Conducts sales related functions and assists in developing and maintaining long term relationships with organizations in order to establish referral patterns to UTMB.
Screens potential clients.
Updates sales presentations.
Coordinates and provides managed care education.
Submits strategic recommendations to enhance referrals in a managed care environment.
Assists the Assistant Vice President with projects as assigned.
Adheres to internal controls and reporting structure established for department.
Performs other related duties as required.