Description

•  Strong track record of providing excellent work/life balance
•  Comprehensive benefits package and competitive compensation
•  Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.

• Provide support to the Managed Care department.
• Update our contracts for new service lines and locations.
• Implements new Managed Care contracts and participate in revenue improvement initiatives.
• Review language and summarize Managed Care contracts that are being considered for contracting and gather all data pertinent to finalize contract executions.
• Responds to requests for information related to Managed Care contracts
• Handle day-to-day communications with payers and renewal negotiations on existing contracts.
• Evaluate new payer arrangements as they are presented.
• Pursue optimal reimbursement in discovering opportunities that would increase revenue through payer analyses.
• Acts as a liaison to assist internal and external stakeholders
• Coordinate with Analytics to determine the financial impact of new and renegotiated managed care contracts.
• Coordinate with Provider Enrollment Team with regard to Provider Enrollment with Managed Care plans.
• Provide demographic and chargemaster updates to our payor partners.
• Other duties deemed necessary by management.

• Bachelors Degree from an accredited academic institution required.
• Healthcare Experience Preferred.
• Ability to work and make decisions independently, displaying a keen eye for attention to detail, and providing accurate status of progress, issues, and risks on all projects.
• Ability to exercise considerable individual judgment and initiative, and to rely on experience and judgment to plan and accomplish goals.
• Ability to work under stress and pressure while maintaining a positive, professional manner both in person and via phone, e-mail, business letter, or fax.
• Ability to be flexible, be readily adaptable and work in a rapidly and constantly changing environment.
• Ability to produce quality and timely results while handling multiple projects, exhibiting good organizational and time management skills.
• Communicate effectively at all organizational levels and in situations requiring instructing, persuading, negotiating, consulting, and advising.
• A wide degree of creativity and latitude is expected.
• Ability to communicate clearly and effectively, both verbally and in writing.
• Ability to effectively problem solve.
• Can learn to negotiate, read, and navigate Managed Care contracts.
• Ability to work well with diverse groups and individuals in a team setting.
• Ability to prepare and conduct effective presentations.
• Strong leadership skills required.
• Willingness to adhere to productivity goals and departmental guidelines.
• Basic understanding of healthcare reimbursement and Emergency/Hospital medicine
• Proficiency in Microsoft Office products.

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