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Manager, Managed Care Contracting - Cincinnati, Ohio

City:  Cincinnati
State:  OH
Job Requisition Number:  249040

Attention current TriHealth employees:

Please apply for this position by submitting an online internal application via SuccessFactors. Please be certain to update your SuccessFactors Employee Profile prior to applying to this position.

 

TriHealth is actively recruiting for a Manager, Managed Care Contracting for our corporate office in Cincinnati, Ohio.

 

In this role, you will be responsible for:

  • Lead the development and implementation of successful strategies/solutions to achieve contracting goals
  • Ensure competitive standing through effective collaboration with stakeholders to develop new third-party payor agreements
  • Be the subject matter expert (SME) for relevant stakeholders on matters of reimbursement models and payor contracting
  • Strengthen existing and future business partnerships
  • Provide TriHealth 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

 

To be qualified for this position, you must meet these minimum requirements:

  • EDUCATION:
    • Two-year Degree: Bachelor's degree required within five years Healthcare
  • EXPERIENCE:
    • 4-5 years of leadership experience in healthcare
  • SPECIALIZED KNOWLEDGE:
    • 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

 

TRIHEALTH VIDEO

Job Title:  Manager, Managed Care Contracting - Cincinnati, Ohio

Department Name:  TRIS MANAGED CARE CONTR

Location:  Baldwin

Hourly/Salaried:  Salaried

Employment Status: Full Time Position

Bi-Weekly Hours:80

Shift: Day Shift

Weekend Commitment:  No

Holiday Commitment:  No

On-Call Commitment:  No


Nearest Major Market: Cincinnati

Job Segment: Manager, Management