Cone Health, SW-Managed Care ContractCITY:
Exempt: Yes | FTE: 1.0 (40 hours/week) | Schedule: M-F 8am-5pm | On Call: NOJOB SUMMARY:
Plans and directs managed care operational practices including analyzing, negotiating, and maintaining system wide Managed Care agreements. Monitors and updates Executive Director on political, legal and regulatory trends with respect to managed care. Works with Revenue Cycle operations to produce reports concerning managed care contract performance and operations. Plans and oversees education for Revenue Cycle and other departments throughout the system in order to educate various stakeholders concerning contract terms, language, and compliance. Facilitates resolution of contractual and operational issues with payers in order to enhance managed care contract performance. Contributes to the implementation of managed care vision and goals.EDUCATION:
Required: Bachelor's Degree in Business, Finance, Health Care Administration, Actuarial Sciences, Accounting, or other related discipline.
Preferred: MBA or MHAEXPERIENCE:
Minimum 2-4 years experience in multi-facility health system managed care environment with payer contracting experience for facility, professional services, and ancillary care.LICENSURE/CERTIFICATION/REGISTRY/LISTING:
Required: Valid Driver's License
Cone Health is an equal opportunity employer. If you require assistance with our online job submission process, please contact our team at 866-266-3767 to request an accommodation.