Director of Managed Care
3 weeks ago
A New Jersey Hospital is seeking a Director of Managed Care to join their team.
Responsibilities:
The Director of Managed Care will:
- Plans, organizes and directs the operational functions of the Medical Center as they relate to managed care.
- Develops, interprets and implements policies and procedures to create and maintain an effective managed care program with maximum reimbursement rates.
- This position carries primary administrative responsibilities for the managed care contracting efforts of the Medical Center as well as other corporate entities as needed.
- Demonstrates the Standards for Service Excellence, so that these standards represent minimum accepted behavior.
- Plan, direct and coordinate the operations of the Managed Care. Manage staff for optimum performance.
- 3 to 5 years of experience in healthcare, knowledge of payer/insurance Company practices, as well as knowledge of the hospital environment.
- Bachelor's Degree required.
- Experience in the negotiation and management of managed care contracts.
- Knowledge of state and regulatory HMO guidelines.
- Demonstrated proficiency in the use of a personal computer (windows environment) including but not limited to Word, Excel, Power Point, and Access.
- Must have excellent interpersonal skills and be capable of working with all levels of Medical Center and Medical Staff. Must exhibit relationship skills with contracted partners.
- Must be able to act as a team player, working in concert with other members of administration and the Medical Staff.
- Must possess excellent written, verbal, analytical and communication skills.
- Must be highly organized and capable of performing multiple tasks simultaneously.
- Must have excellent interpersonal skills and be capable of working with all levels of Medical Center and Medical Staff. Must exhibit relationship skills with contracted partners.
- Must be able to act as a team player, working in concert with other members of administration and the Medical Staff.
- Must possess excellent written, verbal, analytical and communication skills.
- Must be highly organized and capable of performing multiple tasks simultaneously.
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