Overview At Ernest Health, we provide specialized medical and rehabilitative services to our patients through our rehabilitation and long-term acute care hospitals. We treat patients who often are recovering from disabil…
Skills: Managed care contracting, Negotiation, Provider relations, Healthcare industry knowledge, Contract language analysis
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Full-time
bachelor degree
PPO high and low deductible plans, HSA options, Free prescription plans, Dental coverage, Vision coverage, Life insurance
Posted 2d ago
Apply by Sep 9
~40 hrs/week
Responsibilities
The Managed Care Contracting Manager is responsible for system-wide managed care contracting, including the negotiation of language and reimbursement terms. They serve as a liaison between managed care organizations and the company while supporting hospitals with payor issues and contract performance.
Requirements
Candidates must have a minimum of three years of experience in managed care contracting, negotiations, and provider relations. A bachelor's degree is preferred, along with strong knowledge of Mountain States markets and federal/state healthcare regulations.
Full job description
Overview
At Ernest Health, we provide specialized medical and rehabilitative services to our patients through our rehabilitation and long-term acute care hospitals. We treat patients who often are recovering from disabilities caused by injuries or illnesses, or from chronic or complex medical conditions.
We strive to attract, retain, develop, and empower our employees, supporting them in their professional growth with career advancement opportunities and a path to success within our organization.
We are seeking a Managed Care Contracting Manager to join our team of passionate patient caregivers!
Qualifications
At Ernest Health, our patients are family. Healthcare is constantly evolving, our growing organization is devoted to ensuring that each person in our care feels safe. Our world-class team of driven, passionate healthcare professionals are always focused on service excellence and providing top quality care at the bedside.
At Ernest Health, employees are our priority. We are passionate about patient care and consider it a privilege to be able to provide services to patients and their family members. Below is a brief summary of our benefits.
PPO high and low deductible plans / HSA options as well
FREE prescription plans
Dental and Vision coverage
Life insurance
Short and Long Term Disability
EAP
Flex plans, 401K matching
Company discounts for mobile phone service, electronics, cell phones, clothing, etc
PET insurance!
Group legal – provides legal assistance with personal legal matters
Tuition and continuing education reimbursement
Work life balance
Responsibilities
Ernest Health is growing!! New Managed Care Manager position available in the Mountain States.
The Managed Care Contracting Manager is responsible for system-wide managed care contracting including negotiation/re-negotiation of language and reimbursement terms. Serves as the liaison between Managed Care Organizations and Company. Provides support and communicates contract terms and reimbursement methodologies to hospitals and clinics in order to maximize managed care contract performance. Assists hospitals and support staff with payor issues and discrepancies related to contract terms to create a seamless operational performance. If needed, perform credentialing and re-credentialing according to plan specifications in a timely, accurate fashion. Track all performance for reporting purposes.
Required Skills:
Minimum three (3) years’ experience required in managed care contracting, negotiations/renegotiations, provider relations, and the healthcare industry.
Knowledge of Mountain States markets is required.
Preferrable candidate will reside in Western states.
Bachelor’s Degree preferred OR any equivalent combination of education and experience.
Strong negotiating skills.
Knowledge of managed care procedures and laws required.
Knowledge of Federal and State healthcare regulations pertaining to Medicare, Medicaid required.
Ability to communicate (both written and orally) with senior management, business office, marketing, case management, and managed care organizations is required.
Additional Qualifications/Skills:
Strong interpersonal skills and partnership skills to include negotiation.
High degree of accuracy and attention to detail.
Discretion in dealing with sensitive confidential information.
Demonstrates honesty and integrity at all times.
Ability to carry out duties with limited supervision.
Knowledge of regulatory standards and compliance requirements.
Demonstrates general computer skills including data entry, word processing, email, and record management.
Ability to meet deadlines.
Ability to prioritize and multi-task.
Effective organizational and time management skills.
Effective written and verbal communication skills.
Ability to maintain quality and safety standards.
Ability to project a professional image.
Ability to work closely and professionally with others.
At Ernest Health, we provide specialized medical and rehabilitative services to our patients through our rehabilitation and long-term acute care hospitals. Our patients often are recovering from disabilities caused by injuries or illnesses, or from chronic or complex medical conditions.
Our hospitals are located in Arizona, Colorado, Idaho, Indiana, Montana, New Mexico, Ohio, South Carolina, Texas, Utah, and Wyoming. Each hospital is managed locally to best meet the needs of each community. However, we share information, knowledge and resources throughout all our hospitals so we can continually evaluate and improve the delivery of care to our patients.
These effort have earned us recognition as a national healthcare leader, allowing our hospitals to provide the highest level of care available to patients in their own communities.
Offices: 1024 N Galloway Ave, Mesquite, Texas 75149, US · Anywhere, Arizona - S. Carolina, New Mexico, US
Health DiagnosticsHospitalHealth CareRehabilitationWellnessMedicalPersonal HealthHealthcare Services & HospitalsHealthcare
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