Healthcare Manager

3 days ago


New Orleans, Louisiana, United States LCMC Health Full time
About the Role

This is a challenging and rewarding opportunity to join LCMC Health as a Manager of Managed Care. As a key member of our team, you will be responsible for developing and executing our managed care and employer/broker strategy for our hospitals and physicians.

Key Responsibilities
  • Strategy Development: Participate in the development of and execute managed care and employer/broker strategy for LCMC hospitals and physicians.
  • Market Growth: Identify opportunities for LCMC to grow market share.
  • Payer Relations: Establish productive business relationships with payor representatives and participate in Joint Operating Committee (JOC) meetings.
  • Contract Renewals: Manage the planning process for contract renewals and negotiations, including assessment of historical performance and issues, as well as identification of payor-specific issues.
Analysis and Reporting
  • Reimbursement Analysis: Provide analysis and summary of reimbursement and language terms of payor contracts.
  • Contract Review: Work closely with analytics staff and legal counsel to review proposed agreements.
  • Contract Management: Ensure all documents associated with the negotiated payor agreement are in contract management systems correctly at all times.
  • Biweekly Updates: Provide biweekly updates on significant payer issues.
Employer Relations
  • Employer and Insurance Broker Relations: Support LCMC's employer and insurance broker relationship strategy.
  • Key Payer Identification: Identify key payers, brokers, employers, and employee groups in the Hospitals' primary and secondary service areas and develop relationships of trust within these groups in order to identify and advise them on market opportunities which would support LCMC's growth strategy.
  • Cost-Affective Alternatives: Assist in the development and presentation of LCMC Hospitals' tactics to assist Payers, Brokers, and Employers in cost-effective alternatives to consider during their benefit selection process and impact that decision-making process.
Requirements
  • Experience: 5 years of experience with Managed Care, Payor or Provider Contracting.
  • Education: Bachelor's Degree In Healthcare Management, Accounting, Business, or other related field.
  • Skills and Abilities: Excellent Excel skills and the ability to navigate through contract modeling software, able to handle multiple tasks simultaneously, meet time-sensitive deadlines, and organize workload with limited supervision.


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