Director, Managed Care
3 days ago
Description
• The Director, Managed Care is accountable for strategic partnerships with payers, including new business and revenue development through continued clinical integration and market expansion. • Develops contracting plan and owns execution of rate increases for assigned geography. • Provides guidance and direction to cross-functional business team members including Operations, Sales, Billing and/or Finance. • Serves as a subject matter expert on contract and reimbursement-related issues impacting the home medical equipment and supplies business and healthcare industries. • Effectively evaluates and oversees TPA, as company moves forward with possible integration options.
Requirements
• Bachelor’s degree in relevant discipline from an accredited college required. • Seven (7) years of relevant work experience required in contracting, credentialing, or network management. • Five (5) years of management experience in related position is preferred.
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