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Director of Managed Care
4 months ago
Overview:
We are seeking a proactive and experienced Director of Managed Care to lead our managed care initiatives for our ENT and Allergy private practices. The ideal candidate will have a deep understanding of the healthcare industry. This role is pivotal in optimizing reimbursement strategies and strengthening our partnership with health plans.
Key Responsibilities:
1. Contract Negotiation & Management:
- Lead negotiations with health plans to secure the best rates and terms for our ENT and Allergy practices.
- Monitor contract performance, ensuring adherence to agreed-upon terms.
- Handle contract renewals and renegotiations as necessary.
2. Strategic Planning:
- Collaborate with senior leadership to identify strategic opportunities within managed care.
- Stay updated on industry trends, market changes, and regulatory shifts that may impact the managed care landscape.
3. Relationship Building:
- Develop and maintain strong relationships with health plans, providers, and other stakeholders.
- Act as the primary liaison between our company and managed care organizations.
4. Financial Oversight:
- Monitor reimbursement trends, ensuring optimal revenue for our practices.
- Work closely with the finance team to assess the financial impact of contract terms.
5. Team Leadership & Development:
- Lead and mentor a team of managed care professionals.
- Foster a culture of continuous learning and professional growth within the team.
Qualifications:
1. bachelor's degree in business, Healthcare Administration, or a related field. Master's degree preferred.
2. Minimum of 7 years of experience in managed care, with at least 3 years in a leadership role.
3. Knowledge of the healthcare industry, particularly in ENT and Allergy practices is a plus.
4. Strong negotiation skills with a proven track record of successful contract management.
5. Excellent relationship-building and communication skills.
6. Proficient in data analysis and financial modeling.
7. Familiarity with healthcare regulations and compliance requirements.
What We Offer:
1. Competitive salary and benefits package.
2. An opportunity to shape the managed care strategy for leading ENT and Allergy practices.
3. A collaborative work environment with a dedicated and passionate team.
4. Ongoing professional development and growth opportunities.
