- The qualified candidate will have extensive knowledge and relevant work experience in the Managed Care/insurance sectors including network planning/development, contract negotiations, etc.
- Must have presentation experience, excellent written and verbal communication skills, and ability to supervise and organize staff functions. Five (5) years of management experience in related position is preferred. Experience with Long Term Care contracting is a must.
- Proficient knowledge of medical contracting methodologies and claims pricing/reimbursement strategies
- Independent thinker and decision maker
- Strong analytical and problem-solving skills with attention to detail
- Excellent verbal and written communication
- Strategic business partner
- Proficient computer skills and knowledge of Microsoft Office specifically Excel
- Ability to prioritize and manage multiple projects
- Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction
- This positon reports to the VP of Revenue Cycle
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Corporate Director of Managed Care and Contracting - Cincinnati, United States - CommuniCare Family of Companies
Description
Corporate Director of Managed Care and ContractingSince 1984, the CommuniCare Family of Companies has been committed to delivering exceptional person-centered care as a national leader in post-acute care for those that are chronically ill or have complex conditions.
Our more than 150 skilled nursing, assisted living, independent living, behavioral health and long-term care facilities deliver sophisticated and transformative care to nearly 16,000 residents and patients at any given time. CommuniCare employs more than 19,000 employees across seven states (Ohio, Indiana, Maryland, Virginia, West Virginia, Pennsylvania, Missouri).
CommuniCare is looking to fill the key position of Corporate Director of Managed Care to oversee strategy and development for all Managed Care Services and Contracting for the LTC and New Vista lines of business. The Corporate Director is responsible for full managed care contract life-cycle support, including new business and revenue development through continued clinical integration and market expansion.
Duties will include the development and implementation of a strategic plan with regard to these payors, overseeing and leveraging existing relationships, and identifying the objectives necessary for the company to succeed as health care systems change.
Desired Skills and Experience:
As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer full time employees a menu of benefit options from life and disability plans to medical, dental, and vision coverage from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts.
About Us
A family-owned company, we have grown to become one of the nation's largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another.
