Team Lead, Managed Care Operations hybrid
About The Position
The Managed Care Operations Lead serves as a resource and advisor, directs all aspects of managed care operations including system wide credentialing with managed care plans, contract performance monitoring and reporting, and contract payment modeling and analysis. Works in collaboration with Chief Financial Officer, consultants Vice President of Finance, Director and Managed Care Specialists to recommend contracting strategies, perform complex contract modeling, and to monitor health plan performance. Acts as a liaison between Managed Care Contracting, Reimbursement, Patient Financial Services, Patient Access and other departments in the hospital in an effort to create seamless operational performance and reimbursement maximization related to managed care contracting and performance monitoring.
Requirements
- Bachelor's Degree Business Administration Or Healthcare Or Finance Or Related Field Required
- Master's Degree Health Administration Or Business Preferred
- 10 Years Managed Care Contracting Required
- 7 Years Managed Care Contracting In Healthcare Required
Nice To Haves
- Master's Degree Health Administration Or Business Preferred
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
