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Manager, Managed Care
1 month ago
Bachelor's Degree or equivalent combination of education/related experience: Required Master's Degree: Preferred Five years' technical experience: Preferred One year's leadership experience: Preferred Essential Functions:
Reviews and evaluates contract performance models for renewal/ renegotiation. Maintains responsibility for contract implementation, internal and external in-servicing of contract terms. Supports executive management in negotiations and revenue recovery activity with payers. Coordinates and facilitates Joint Operations Meetings with payers and affiliated partners. Collaborates with management and top professionals/specialists in selection of methods, techniques and analytical approach. Provides day-to-day technical leadership while performing escalated or complex duties. Provides oversight of employees within the work group using advanced technical skills. Conducts performance reviews and provides input on direct reports for human resource decisions such as hiring, promotions and disciplinary actions. Participates in the development of employees. Maintains responsibility for adherence to budget for specific projects. Participates in the preparation of the department budget. Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.About UsAdventist Health is a faith-based, nonprofit, integrated health system serving more than 90 communities on the West Coast and Hawaii with over 400 sites of care, including 26 acute care facilities, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of 37,000 includes employees, physicians and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
