Director - Managed Care - FT Days - MHS
Core
Corporate-level leader executing enterprise-wide strategic and tactical initiatives for complex negotiations with major national and regional payors to drive positive financial trends and achieve appropriate market price points.
Role type
Senior Managed Care Director (Healthcare)
Builds
Contracting strategies and financial reimbursement models for an integrated delivery system and clinically integrated network.
Domain
Healthcare / Managed Care / Health Insurance
Required skills
Financial analysis and forecasting, Contract negotiation, Strategic planning, Team management, Market analysis, Regulatory compliance, Revenue optimization, Stakeholder collaboration
Preferred skills
Local market knowledge, Payer and provider experience, Knowledge of healthcare reform and legislation
Technologies
Financial modeling tools, Contract management systems, Data analytics platforms
Responsibilities
Execute contracting strategy for all service lines including hospitals, physician groups, and ancillary services; Enhance, estimate, and preserve net revenues through financial analysis; Plan and monitor staff activities including hiring, training, and mentoring; Monitor department operations to meet budget and goals; Respond to insurance industry activities and legislative changes; Initiate and research new business opportunities.
Seniority
Senior, strategic leadership
