MANAGED CARE MANAGER-PAYER RELATIONS AND CONTRACTING

2 months ago


Owings Mills, United States LifeBridge Health Full time

MANAGED CARE MANAGER-PAYER RELATIONS AND CONTRACTING










Owings Mills, MD













SINAI CORPORATE















MANAGED CARE















Full-time - Day shift - 8:00am-5:00pm















Management & Supervisory















84401







$44.71-$71.54 Experience based




Posted:
October 23, 2024








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Summary
 

JOB SUMMARY:


Provides experienced Managed Care Payer contracting negotiation skills and subsequent implementation and ongoing operational support for LifeBridge Health entities.
Provides project support and acts as an internal liaison and resource for LBH staff and physicians, in addition to acting as an external liaison with payer representatives for resolution of operational and contractual issues.


JOB REQUIREMENTS:


Seasoned professional knowledge; equivalent to a Master's degree; knowledge in more than one discipline
5-7 years of experience in payer negotiation to include financial analysis and contract language
Advanced Excel skills
Ability to lead and negotiate all provider types, such as Ambulatory Surgery, Hospice, Home Health, Physicians, Skilled Nursing, Urgent Care and other ancillary services as needed.
Strategic planning experience
Ability to build collaborative relationships internally and externally
Market/Insurance landscape-must understand the insurance players and products-Commercial (HMO/ASO/EPO/PPO), Medicaid and Medicare Advantage
Ability to multi task


 

KEY WORDS

Contract negotiations

Analytics

Managed care

 

Additional Information As one of the largest health care providers in Maryland, with 13,000 team members, We strive to CARE BRAVELY for over 1 million patients annually. LifeBridge Health includes Sinai Hospital of Baltimore, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital and Grace Medical Center, as well as our Community Physician Enterprise, Center for Hope, Practice Dynamics, and business partners: LifeBridge Health & Fitness, ExpressCare and HomeCare of Maryland.






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