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BayCare Health System Director, Managed Care Contracting in CLEARWATER, Florida

Title: Director, Managed Care Contracting Location: FL-Clearwater-System Offices Job Number: 216736

The Director of Managed Care Contracting is responsible for overseeing all aspects of Managed Care Negotiations, including but not limited to managed care contract reimbursement rates, structure, language, terms and claims settlements in accordance with goals established by the VP of Managed Care. Provides leadership through planning, organizing, coordinating, monitoring and evaluating the services provided by this department. Director advises the VP of enhancements to contract language or structure to reduce compliance issues and improve net revenue. Leads the execution and maintenance of contract documents and the load of the executed contracts into the contract adjudication system, communication and education of contract terms and conditions to appropriate parties throughout system, resolution of payor payment and performance trends, and completion of managed care provider credentialing. Serves in a leadership capacity supporting the Mission and Vision of BayCare Health System

Qualifications:

Certifications and Licensures

None Required

Education

RequiredBachelor'sRelated Field

PreferredMaster'sRelated Field

Experience

Required10 yearsHospital Related

And8 yearsFinancial Analysis

And7 yearsNegotiation

Required5 yearsManagement Role in a related field

Specific Skills

RequiredInterpersonal skills

RequiredCritical thinking skills

RequiredWritten and verbal communication skills

RequiredOrganizational skills

RequiredWork independently

RequiredManagement skills

RequiredKnowledge of regulatory standards appropriate to position

RequiredLeadership skills

RequiredDelegation skills

RequiredCustomer service skills

RequiredWork with a team

RequiredComputer skills appropriate to position

Schedule: Monday, Tuesday, Wednesday, Thursday, Friday

Shift: Days

Shift Hours: 8:00 AM - 5:00 PM

Weekend Work: None

On Call: No

Employment Status: ACTIVE FULL TIME

Equal Opportunity Employer Veterans/Disabled

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