DIRECTOR MANAGED CARE CONTRACTS, PATIENT FINANCIAL SERVICES

About the role

Oversees and/or conducts managed care contract negotiations and impact analysis for all SGMC Health entities, to include acute care hospitals, ambulatory surgery centers, transportation, home health care, urgent care centers, inpatient and outpatient rehabilitation, and employed physicians.

Directs contract related financial modeling and analysis. Negotiates fee for services, pay-for-performance and other value-based contracts and participates in the performance review of such contracts across the SGMC Health enterprise.

Monitors payer activity to ensure their compliance with contractual and regulatory terms and provisions. Supervises staff members in the performance of their related duties and responsibilities.

Responsibilities

• Oversees and/or conducts managed care contract negotiations and impact analysis for all SGMC Health entities.
• Directs contract related financial modeling and analysis.
• Negotiates fee for services, pay-for-performance and other value-based contracts and participates in the performance review of such contracts across the SGMC Health enterprise.
• Maintains compliance with contractual and regulatory terms and provisions.
• Supervises staff members in the performance of their related duties and responsibilities.

Requirements

• Bachelors Degree in Health Management, Accounting, Finance or Business Administration required.
• Equivalent combination of education and experience may be accepted at hiring manager's discretion.
• MBA, MHA or CPA preferred.
• CHFP/FHFMA preferred.
• Relevant Epic Certification(s) preferred.

Qualifications

• 10+ years of experience in Health Care Finance or Managed Care industry.

Skills

• Experience in or knowledge of managed care business/organizations and their practices.
• Excellent analytical, negotiation, communication, and presentation skills.
• Team player who strives for excellence and is dedicated to outstanding customer service.
• Extensive experience with Microsoft Office - Excel, Access, Word, and Power Point.
• Knowledge of EPIC systems strongly preferred.

Benefits

Low Healthcare Insurance Premiums
401(k) with employer match
Paid Time Off (PTO)
Employee discounts
Company paid life insurance
Short-Term and Long-Term Disability
Cancer Insurance
Accident Insurance
Pet Insurance
Tuition Reimbursement
On-the-job training and skills development
Opportunities for growth and advancement
Employee Assistance Program

Pay

Salary range based on experience and qualifications.

Schedule

Full Time, 8 HR Day Shift