Jobs

    Director of Managed Care - Atlanta, United States - SENTA Partners

    SENTA Partners
    SENTA Partners Atlanta, United States

    3 weeks ago

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    Description

    Overview:


    We are seeking a proactive and experienced Director of Managed Care to lead our managed care initiatives for our ENT and Allergy private practices.

    The ideal candidate will have a deep understanding of the healthcare industry. This role is pivotal in optimizing reimbursement strategies and strengthening our partnership with health plans.


    Key Responsibilities:

    Contract Negotiation & Management:

    • Lead negotiations with health plans to secure the best rates and terms for our ENT and Allergy practices.
    • Monitor contract performance, ensuring adherence to agreedupon terms.
    • Handle contract renewals and renegotiations as necessary.
    2.


    Strategic Planning:

    • Collaborate with senior leadership to identify strategic opportunities within managed care.
    • Stay updated on industry trends, market changes, and regulatory shifts that may impact the managed care landscape.
    3.


    Relationship Building:

    • Develop and maintain strong relationships with health plans, providers, and other stakeholders.
    • Act as the primary liaison between our company and managed care organizations.
    4.


    Financial Oversight:

    • Monitor reimbursement trends, ensuring optimal revenue for our practices.
    • Work closely with the finance team to assess the financial impact of contract terms.
    5.


    Team Leadership & Development:

    • Lead and mentor a team of managed care professionals.
    • Foster a culture of continuous learning and professional growth within the team.

    Qualifications:
    1. bachelor's degree in business, Healthcare Administration, or a related field. Master's degree preferred.


    • Minimum of 7 years of experience in managed care, with at least 3 years in a leadership role.
    • Knowledge of the healthcare industry, particularly in ENT and Allergy practices is a plus.
    • Strong negotiation skills with a proven track record of successful contract management.
    • Excellent relationship-building and communication skills.
    • Proficient in data analysis and financial modeling.
    • Familiarity with healthcare regulations and compliance requirements.

    What We Offer:


    • Competitive salary and benefits package.
    • An opportunity to shape the managed care strategy for leading ENT and Allergy practices.
    • A collaborative work environment with a dedicated and passionate team.
    • Ongoing professional development and growth opportunities.


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