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MANAGER MANAGED CARE CONTRACTING

City:  Cincinnati
State:  OH
Job Requisition Number:  176205
MANAGER MANAGED CARE CONTRACTING: Key Responsibilities • Leads development and implementation of successful strategies/solutions to achieve contracting goals. • Ensures competitive standing through effective collaboration with stakeholders to develop new third party payor agreements. • Acts as SME for relevant stakeholders on matters of reimbursement models and payor contracting. • Works to strengthen existing and future business partnerships. • Provide Payor Strategy team with comprehensive project management leadership and support. • Manage complex projects end to end. • Create presentations for Senior Management related to departmental goals Qualifications • Bachelors degree required, Masters (MBA) preferred • Minimum 5 years of leadership experience in managed care, network development coupled with familiarity of new reimbursement models • Strong entrepreneurial orientation with the ability to critically think and act decisively to effectively impact business goals • Working knowledge of health-care finance is essential (AP-DRG, APR-DRG, MS-DRG, Ambulatory Surgery Center groupers, APC, APG, and RBRVS reimbursement methodologies). • Knowledge of hospital operations, health/insurance benefit plans, revenue cycle claims systems and complex reimbursement methodologies preferred. • A strong customer service orientation as well as the ability to work effectively with people at all levels is essential. Exceptional oral, written and organizational skills coupled with proficiency in Microsoft Office Suite. • Ability to influence without authority across the organization and engage with Senior Management on business operational issues. Ability to engage with leadership on complex financial concepts MINIMUM REQUIREMENTS: EDUCATION: Two-year Degree; Bachelor's degree required within five years Healthcare EXPERIENCE: 4-5 years Professional Healthcare None SPECIALIZED KNOWLEDGE: .


Nearest Major Market: Cincinnati

Job Segment: Manager, MBA, Management