Director, Medical Data Contracting
1 month ago
This role is responsible for leading the development and implementation of managed care contracting strategies for WVU Medicine. The ideal candidate will have a strong background in healthcare contracting, negotiation, and leadership.
Key Responsibilities- Develop and implement managed care contracting strategies to achieve organizational goals
- Negotiate contracts with payers, including HMOs and other types of payer agreements
- Lead interdepartmental teams to operationalize contract terms and payer policies and procedures
- Manage and analyze contract compliance, including review of payer performance trends and resolution of major payment disputes
- Develop and maintain relationships with payers, including negotiation of non-risk agreements for physician and hospital services
- Seven years of progressive experience in healthcare management, including payer contract strategy and negotiations
- Strong leadership and relationship management skills, with ability to work collaboratively with multiple disciplines internal and external to the organization
- Superior skills in verbal and written communications, organization, decision making, and ability to manage multiple tasks concurrently
- Knowledge of West Virginia, Ohio, Pennsylvania, Virginia, and Maryland law related to managed care contracting and operations
- Experience with contract issues, including indemnification/hold harmless, balance billing, billing and payment terms, and 'medical necessity' issues
- Understanding of roles of IPAs/PHOs in contracting, including basic understanding of antitrust issues as they relate to risk and non-risk contracts
- General knowledge of Health Care Financing Authority limitations on physician and hospital Medicare Risk/Choice contracts
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Director of Managed Care
4 weeks ago
Morgantown, West Virginia, United States Select Medical Full timeJob SummaryWe are seeking a highly skilled Clinical Care Leader to join our team at Select Medical. As a Director of Case Management, you will play a vital role in ensuring the highest quality patient care and outcomes.Key ResponsibilitiesDevelop and implement effective case management strategies to optimize patient care and outcomes.Collaborate with...
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Morgantown, West Virginia, United States RM Medical Search Full timeLeadership Opportunity in Pediatric Neurology and EpilepsyWVU Children's is seeking a Director for its Child Neurology Epilepsy Division to lead the Pediatric Epilepsy, EEG and EMU programs for a Level IV Comprehensive Epilepsy Program.Requires a mix of outpatient clinic and inpatient consults, reading EEG's, optimizing workflows and teaching medical...
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Director of Case Management
4 weeks ago
Morgantown, West Virginia, United States Select Medical Full timeJob DescriptionJob Title: Director of Case ManagementLocation: Morgantown, WVJob Type: Full-timeAbout the Role:We are seeking a highly skilled and experienced Director of Case Management to join our team at Select Medical. As a Director of Case Management, you will be responsible for leading our case management department and ensuring that our patients...
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Cardiovascular Services Director
4 weeks ago
Morgantown, West Virginia, United States CAMC Health System Full timeNursing Director of Heart and Vascular Services at CAMC Health System, responsible for hospital-wide identification, collection, analysis, and reporting of data to foster a culture of continuous improvement. Collaborates with medical staff and hospital teams to drive clinical improvements.Requirements:Nursing Degree, BSN preferredThree (3) years' experience...
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Director of Case Management
4 weeks ago
Morgantown, West Virginia, United States Select Medical Full timeJob SummaryAs the Director of Case Management at Select Medical, you will be responsible for leading the case management department and ensuring the delivery of high-quality patient care. This role requires a strong clinical background and leadership skills to manage a team of case managers and develop effective strategies for patient care.Key...
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Business Development Director
4 weeks ago
Morgantown, West Virginia, United States HealthSouth Full timeThe Business Development Director at HealthSouth is responsible for driving hospital inpatient and outpatient census growth through the design and implementation of referral programs and customer service strategies. This role oversees the inpatient admission process and manages a hospital-wide Business Development Team. The Director serves in a Senior...
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Regional Marketing Director
4 weeks ago
Morgantown, West Virginia, United States CAMC Health System Full timeThe Regional Marketing Director will lead the development and execution of strategic marketing initiatives for CAMC Health System, driving growth and brand awareness across the region.This role will oversee the creation and implementation of marketing campaigns, ensuring alignment with the organization's goals and objectives.The Director will work closely...
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Business Development Director
4 weeks ago
Morgantown, West Virginia, United States HealthSouth Full timeBusiness Development DirectorThe Business Development Director plays a pivotal role in driving hospital growth and revenue through strategic planning and execution of referral programs, customer service strategies, and inpatient and outpatient census management.Key Responsibilities:Reviews and evaluates critical numbers and progress towards goals, taking...
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Morgantown, West Virginia, United States WVU Heart and Vascular Institute Full timeThe WVU Heart and Vascular Institute is seeking a distinguished physician to lead our Women's Cardiovascular Health program. As the Director, you will play a pivotal role in shaping the future of cardiovascular medicine, collaborating with a renowned team of medical professionals to drive groundbreaking advancements in patient care.Key...
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Medical Director
4 weeks ago
Morgantown, West Virginia, United States West Virginia University Medical Corporation dba University Health Associates Full timeWe are seeking a talented Psychiatrist to join our team at the West Virginia University Health System. As a member of our academic medicine department, you will have the opportunity to provide exceptional patient care, teach medical students and residents, and participate in cutting-edge research.The successful candidate will have an MD or DO degree, be...
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Financial Planning and Analysis Director
4 weeks ago
Morgantown, West Virginia, United States Klie Law Offices Full timeFinancial Planning and Analysis DirectorWe are seeking a highly skilled Financial Planning and Analysis Director to join our leadership team at Klie Law Offices. As a key member of our team, you will be responsible for creating and implementing financial plans and strategies to drive business growth and profitability.Key Responsibilities:Develop and maintain...
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Director of Child and Adolescent Psychiatry
1 month ago
Morgantown, West Virginia, United States West Virginia University Medical Corporation dba University Health Associates Full timeWelcome to the WVU Rockefeller Neuroscience Institute, where we are seeking a highly skilled and dedicated Director for the Child and Adolescent Psychiatry division. As a key member of our team, you will be responsible for providing exceptional patient care, teaching medical students, residents, and fellows, and overseeing the child psychiatry mental health...
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Medical Care Professional
23 hours ago
Morgantown, West Virginia, United States Select Medical Full timeAt Select Medical, we are dedicated to providing exceptional patient care and promoting healing and recovery in a compassionate environment.Salary: $47.00 per hourJob Summary:We are seeking a Registered Nurse (RN) to join our team at our Critical Illness Recovery Hospital in Morgantown, WV. As an RN on our team, you will play a vital role in providing...
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Medical Director
4 weeks ago
Morgantown, West Virginia, United States West Virginia University Medical Corporation dba University Health Associates Full timeWe are seeking a highly skilled General Plastic Surgeon to join our experienced team of plastic surgeons at West Virginia University Health System.The successful candidate will practice in the area of Plastic Surgery, providing excellent patient care and being actively involved in teaching medical students, residents, and fellows.Qualifications include an MD...
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Director of Institutional Giving
4 weeks ago
Morgantown, West Virginia, United States West Virginia University Foundation Full timeJob SummaryThe Director of Institutional Giving is a frontline fundraiser responsible for representing the WVU Foundation, West Virginia University, and its affiliates. This role involves identifying and advancing gifts at the major gift level, from $50,000 and above, by building and progressing a personal portfolio of prospects.Key...
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Business Development Director
1 month ago
Morgantown, West Virginia, United States J.B. Poindexter Full timeBusiness Development ManagerThis exciting role as the Business Development Manager will report to the Chief Commercial Officer and be responsible for driving the development of programs that support the organization's main objectives in maintaining and increasing market share.Key Responsibilities:Provide business development leadership to grow business...
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Morgantown, West Virginia, United States Synergy Medical Staffing Full timeAbout this RoleSynergy Medical Staffing is a leading provider of medical staffing services, seeking a highly skilled travel medical professional with experience in Pediatric Intensive Care to join our team in Morgantown, West Virginia.This is a unique opportunity to work in a fast-paced environment, providing high-quality patient care and collaborating with...
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Risk Management Director
1 month ago
Morgantown, West Virginia, United States WVU Medicine Full timeJob SummaryThis is a critical leadership role that oversees the system-wide risk management function for WVU Medicine, its subsidiaries, and affiliated clinical practice plans. The Director of Risk Management will be responsible for mitigating professional liability claims, incidents, trends, and related risks across the organization.Key...
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Regional Sales Director
4 weeks ago
Morgantown, West Virginia, United States LabCorp Full timeJob Summary:Labcorp is seeking a Regional Sales Director to lead a sales team in the North Central East Division, covering Ohio, Western PA, West Virginia, Kentucky, and Michigan. The ideal candidate will have a strong background in medical sales, with a minimum of 5 years of experience and 3 years of sales management experience.Key Responsibilities:Recruit,...
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Morgantown, West Virginia, United States University health Associates Full timeDirector, Child and Adolescent PsychiatryWelcome to this exciting opportunity to lead our team of dedicated professionals in the field of child and adolescent psychiatry.The WVU Rockefeller Neuroscience Institute is recruiting a Director for the Child and Adolescent Psychiatry division in the Department of Behavioral Medicine and Psychiatry. As a key member...