Director of Managed Care and Network Development
3 weeks ago
- Strategic Growth: Develop and implement innovative contracting strategies to increase quality and decrease costs, while fostering relationships with key stakeholders.
- Managed Care Contracting: Lead negotiations, coordinate implementation, and manage contractual relationships with managed care partners, including contracted network carriers, vendors, and preferred providers.
- Team Management: Supervise, lead, and delegate work to the MCVA staff, ensuring efficient administration, coordination, negotiation, execution, implementation, and monitoring of managed-care vendor contracts.
Requirements:
- 10-12 years of experience in healthcare, managed care, or insurance organizations
- Excellent understanding of and experience in leading contracting efforts for various managed care approaches
- Working knowledge of current legislative requirements under ACA, COBRA, HIPAA, DOL, etc.
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