Current jobs related to Executive Director of Managed Care Partnerships - Nashville, Tennessee - Newport Healthcare

  • Strategic Partnerships Director

    2 weeks ago

    Nashville, Tennessee, United States Elevance Health Full time

    About the RoleWe are seeking a highly skilled Strategic Partnerships Director to join our team at Elevance Health. As a key member of our organization, you will play a critical role in driving innovation and growth in our pharmacy benefit management business.Key ResponsibilitiesDevelop and execute strategic plans to drive business growth and innovation in...

  • Executive Director

    4 weeks ago

    Nashville, Tennessee, United States Nashville Tree Foundation Full time

    About Nashville Tree FoundationNashville Tree Foundation is a non-profit organization dedicated to preserving and enhancing Nashville's urban forests. Our mission is to promote environmental stewardship and educate the community about the importance of trees for a healthy and vibrant community.The OpportunityWe are seeking an Executive Director to lead our...

  • Executive Director

    4 weeks ago

    Nashville, Tennessee, United States Nashville Tree Foundation Full time

    About Nashville Tree FoundationNashville Tree Foundation is a non-profit organization dedicated to preserving and enhancing Nashville's urban forests. Our mission is to promote environmental stewardship and educate the community about the importance of trees for a healthy and vibrant community.Job SummaryWe are seeking an experienced Executive Director to...

  • Executive Director

    4 weeks ago

    Nashville, Tennessee, United States LaBine and Associates Full time

    Job Title: Executive DirectorWe are seeking a highly skilled and experienced Executive Director to lead our hospice team in Nashville, West Virginia, Ohio, and Indianapolis. The ideal candidate will have a strong background in healthcare administration, nursing, or a related field, with a minimum of five years of experience in a leadership role.Key...

  • Executive Director for the John Lewis Center

    2 weeks ago

    Nashville, Tennessee, United States Fisk University Full time

    Job Title:Executive Director for the John Lewis CenterJob Summary:Fisk University seeks a visionary leader to serve as the Executive Director of the John Lewis Center for Social Justice. The ideal candidate will possess a strong understanding of social justice principles and a proven track record of leadership in promoting equity and inclusion.Key...

  • Executive Director

    4 weeks ago

    Nashville, Tennessee, United States HighPoint Hospice Full time

    Join Our Team as an Executive DirectorWe are seeking a highly skilled and experienced Executive Director to lead our Hospice team at HighPoint Hospice in Nashville, TN. As a key member of our leadership team, you will be responsible for overseeing all aspects of patient care, staff management, and regulatory compliance.Key Responsibilities:Lead and engage...

  • Executive Director for the John Lewis Center

    1 month ago

    Nashville, Tennessee, United States Fisk University Full time

    Job Title: Executive Director for the John Lewis CenterFisk University seeks a visionary leader to serve as the Executive Director of the John Lewis Center for Social Justice. The ideal candidate will possess a strong understanding of social justice issues and have a proven track record of leadership and community engagement.Key Responsibilities:Develop and...

  • Executive Director for the John Lewis Center

    4 weeks ago

    Nashville, Tennessee, United States Fisk University Full time

    Job Title: Executive Director for the John Lewis CenterFisk University seeks a visionary leader to serve as the Executive Director of the John Lewis Center for Social Justice. The ideal candidate will possess a strong understanding of social justice issues and have a proven track record of leadership and community engagement.Key Responsibilities:Develop and...

  • Director of Donor Engagement and Partnerships

    2 weeks ago

    Nashville, Tennessee, United States The Tennessee Board of Regents Full time

    Job SummaryThe Director of Donor Relations and Programs is a key member of the Tennessee Board of Regents team, responsible for developing and implementing a comprehensive donor relations plan to support the strategic growth of the foundation and improve internal and external relations for the college.Key ResponsibilitiesDevelop and manage a successful donor...

  • Executive Director

    1 week ago

    Nashville, Tennessee, United States Akara Property Management LLC Full time

    Job SummaryWe are seeking a highly experienced and skilled Executive Director to lead our Kenect Nashville community. The successful candidate will be responsible for overseeing the entire operation of the community, ensuring success in all departments, and providing exceptional customer service to our residents and members.The Executive Director will be...

  • Risk Management Assistant Director

    5 days ago

    Nashville, Tennessee, United States State of Tennessee Full time

    Executive Service Assistant Director of Risk Management Finance & Administration This role is responsible for participating in divisional risk assessment and functional area risk assessments. Key Responsibilities: Assists the Director of Risk Management with tracking and coordinating audit activity and responses. Assists the Director of Risk Management with...

  • Risk Management Associate Director

    2 weeks ago

    Nashville, Tennessee, United States State of Tennessee Full time

    Executive ServiceAssistant Director of Risk ManagementJoin the State of Tennessee's Finance and Administration team as we seek a highly skilled and experienced professional to serve as Assistant Director of Risk Management. This key role will play a critical part in ensuring the effective management of risk across the organization.The ideal candidate will...

  • Senior Manager of Strategic Partnerships

    3 weeks ago

    Nashville, Tennessee, United States AEG Full time

    The RoleWe are seeking a highly skilled and experienced Senior Manager of Partnership Sales to join our team at the Academy of Country Music. As a key member of our sales team, you will be responsible for identifying, sourcing, negotiating, and closing new business opportunities with top brands and organizations.Key ResponsibilitiesDevelop and execute sales...

  • Napster Business Development Executive Director

    4 days ago

    Nashville, Tennessee, United States Napster Full time

    About NapsterNapster is a leading independent music streaming service that has revolutionized the music industry. Since its inception in 1999, the company has delivered over $1 billion to artists and has become a go-to destination for music fans worldwide. With its innovative approach to music streaming, Napster offers a wide range of features, including...

  • Senior Executive Director of Acquisitions and Investments

    4 days ago

    Nashville, Tennessee, United States Elmington Full time

    Job Title: Senior Executive Director of Acquisitions and InvestmentsCompany OverviewElmington Capital Group is a leading private commercial real estate investment and development firm headquartered in Nashville, Tennessee. With a focus on commercial real estate opportunities that provide income return and capital appreciation, the company has established...

  • Managing Director, Ankura Capital Advisors

    4 weeks ago

    Nashville, Tennessee, United States Ankura Consulting Group Full time

    Job Title: Managing Director, Ankura Capital AdvisorsAnkura Capital Advisors is seeking a highly experienced and skilled Managing Director to join our team. As a Managing Director, you will be responsible for leading our Investment Banking practice and driving business growth through strategic partnerships and innovative solutions.Key Responsibilities:Lead...

  • Executive Director

    4 weeks ago

    Nashville, Tennessee, United States Nashville Tree Foundation Full time

    About Nashville Tree FoundationNashville Tree Foundation is a non-profit organization dedicated to preserving and enhancing Nashville's urban forests. Our mission is to promote environmental stewardship and educate the community about the importance of trees for a healthy and vibrant community.Job SummaryWe are seeking an experienced Executive Director to...

  • Executive Director

    4 days ago

    Nashville, Tennessee, United States Akara Property Management LLC Full time

    Job DescriptionAs the Executive Director of Kenect, you will oversee the entire operation of a Kenect community, ensuring success in all departments, including residential leasing, short-term rentals, mid-term rentals, leasing and marketing, physical location, co-working, retail operations, and more. Your primary functions will include team management,...

  • Strategic Sourcing Director

    2 weeks ago

    Nashville, Tennessee, United States Hispanic Technology Executive Council Full time

    Strategic Sourcing ManagerWe are seeking a highly skilled and experienced Strategic Sourcing Manager to join our team at the Hispanic Technology Executive Council. As a key member of our procurement team, you will be responsible for developing and executing a comprehensive sourcing strategy that aligns with our company objectives.Key Responsibilities:Develop...

  • Director of Project Management

    4 days ago

    Nashville, Tennessee, United States Modea Full time

    Job OverviewModea is seeking a highly skilled and experienced Director of Project Management to lead our project management practice to new heights. As a key member of our leadership team, you will be responsible for driving our project management function, including team performance, portfolio delivery, and strategic direction.Your responsibilities will...

Executive Director of Managed Care Partnerships

2 months ago

Nashville, Tennessee, United States Newport Healthcare Full time
About Us

Newport Healthcare is a leading national behavioral healthcare organization dedicated to delivering high-quality, evidence-based care to young people and their families. Our team of experts is committed to transforming lives through compassionate and innovative treatment approaches.

We are seeking a highly skilled and experienced professional to join our team as the Executive Director of Managed Care Partnerships. This key role will be responsible for leading our payor relationships and managed care contracting activity across the enterprise.

Key Responsibilities
  • Lead Payor Relationships: Develop and maintain strong relationships with payors to ensure successful contract negotiations and implementation.
  • Contract Management: Oversee the development, implementation, and ongoing management of managed care contracts, including identification and tracking of critical contract and renewal dates.
  • Contract Analysis: Maintain a thorough understanding of all payor contract language and monitor contract performance regarding financial performance, payment integrity, and compliance with contract terms and key performance indicators.
  • Liaison and Communication: Serve as a liaison between the company and payors with respect to revenue cycle management issues and monitor payor activity with respect to network development, product strategies, payment policies, and other relevant market intelligence.
  • Relationship Building: Oversee payor relationships with a focus on promoting proactive, professional, and collaborative relationships.
  • Contract Optimization: Recommend contract management tools to enhance and streamline the contracting process and work collaboratively with various Newport Healthcare operating units to improve functions across departments and with payors.
  • Value-Based Care: Assist in developing creative pricing and contract structures, including value-based care arrangements, to ensure value to the payor and profitability for the company.
  • Regulatory Compliance: Maintain familiarity of State and Federal regulations, laws, and legislative agendas regarding health insurance, managed care, mental health parity, and value-based care.
  • Reporting and Analysis: Prepare performance, statistical, and other operational reports and manage facility and provider credentialing.
  • Leadership and Development: Supervise, oversee, and develop direct reports in accordance with their job descriptions, all Company requirements, and the dictates of personnel management best practices.
Requirements
  • Education: Bachelor's degree in business or a related field required; master's degree preferred.
  • Experience: 10+ years of full-time professional experience in managed care contracting required; 5+ years in a leadership role required.
  • Industry Knowledge: Demonstrated knowledge and ability to analyze payor contracts, provider manuals, reimbursement methodologies, and rates.
  • Leadership Skills: Exceptional interpersonal, relationship-building, and listening skills, with a natural, consultative style.
  • Communication Skills: Expert in advising, presenting to, and persuading senior leaders.
  • Business Acumen: A winning mentality and ability to drive business results.