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    Director of Managed Care - Denison, United States - UHS

    UHS
    UHS Denison, United States

    3 weeks ago

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    Description
    Responsibilities

    One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

    UHS is currently searching for a Director of Managed Care for our South Texas Health System. South Texas Health System (STHS) is a regional multi-hospital system that has earned a reputation for excellence in providing quality healthcare to residents of the Rio Grande Valley. STHS offers a comprehensive array of medical services, including cardiovascular, maternity and women's health, emergency and surgical care, along with specialty programs in chest pain, pediatrics, diabetes, wound care, bariatric surgery, orthopedics, neurosurgery, rehabilitation and behavioral health services. The System consists of McAllen Medical Center, McAllen Heart Hospital, Cornerstone Regional Hospital, Edinburg and STHS Children's. South Texas Health System has compiled a distinguished list of firsts:
    • First to offer private behavioral health inpatient treatment in the Rio Grande Valley
    • First neonatal surgery center in the Valley
    • First designated Level III Trauma Center in Hidalgo County
    • First and only freestanding hospital for children in the Rio Grande Valley
    The position could be located anywhere in Texas with easy access to an airport.

    Position Responsibilities:
    • Support the maximization of the performance of UHS private payer contracted business in accordance with UHS strategic and financial directives
    • Participate in and coordinate contract negotiations, and assist in projecting their financial performance which includes the requirement to develop various modeled financial scenarios in conjunction with local and corporate Decision Support staff and the Regional Director, Managed Care.
    • Lead specified contract negotiations at the direction of the Regional Director.
    • Ensure revenue cycle coordination among all functional areas required to maximize collections of expected revenues.
    • Assist the Regional Director in the evolving transition from traditional, fee-for-service revenue to fee-for-value and pay-for-performance models.
    • Assist the Regional Director in coordinating all efforts with appropriate staff responsible for the financial performance maximization of company-owned and managed physician practices (IPM).
    • Assist Regional Director in supporting due diligence and contracting efforts of UHS acquisitions in the South Texas region.
    Qualifications

    Job Requirements:
    • Bachelor's Degree
    • Comprehensive working knowledge of managed care contracting and practices sufficient to maximize revenue generated from these sources.
    • Extensive knowledge of health care finance practices and methods.
    • Demonstrated managed care contract negotiation skills.
    • Demonstrated inter-personal and written and verbal communication skills required in imparting and developing contract negotiation practices to Acute Care hospital executive management staff.
    • Ability to travel within the assigned market.
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