Director of Managed Care

3 weeks ago

Atlanta, United States SENTA Partners Full time
Description

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.

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