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LHC Group Director of Managed Care Contracting in New Orleans, Louisiana

Company Overview

The Director of Managed Care Contracting leads a contracting team to initiate, negotiate, and execute agreements with LHC Group partners, including MCOs, ACOs, ASOs, other appropriate parties. The Director position requires an in-depth understanding of healthcare reimbursement, payor contracting, and how organization capabilities interrelate across the function or segment as well as how to manifest those capabilities into payor agreements.

LHC Group is the preferred post-acute care partner for hospitals, physicians and families nationwide. From home health and hospice care to long-term acute care and community-based services, we deliver high-quality, cost-effective care that empowers patients to manage their health at home. Hospitals and health systems around the country have partnered with LHC Group to deliver patient-centered care in the home. More hospitals, physicians and families choose LHC Group, because we are united by a single, shared purpose: It's all about helping people.

Essential Functions

FUNCTIONS

  • Lead team of contractors

  • Negotiates contract terms, payment structures, and reimbursement rates with payers

  • Analyzes financial impact of contracts and terms

  • Maintains contracts and documentation within a tracking system

  • Works closely with other leaders in Managed Care to ensure optimal processes across the department

    RELATIONSHIPS

  • Problem Solving/Thinking Skills

  • Strong organization and prioritizing skills

  • Ability to make sound decisions based on urgency, fact, guidelines, goals and regulations

  • Ability to work in a team environment as well as work independently

  • Strong communication skills – including both written and verbal etiquette

  • Extremely detail-oriented and efficient

  • Ability to work on repetitive tasks as well as miscellaneous projects with minimal direction

  • Ability to be agile and change focus quickly

  • Strong sense of urgency and ability to meet deadlines

  • Intermediate skills in Microsoft Office

Education & Experience

EDUCATION

  • Bachelor's Degree required

  • Master’s Degree preferred

    EXPERIENCE

  • 5+ years extensive provider/payer contracting experience

  • 5+ years proven leadership experience, including teambuilding

  • Experience with ACO/Risk Contracting

  • Value based contracting experience

  • Established provider relationships across the country is preferred

    SKILL REQUIREMENTS

  • Communication

  • Interpersonal

  • Leadership

  • Management

  • Negotiation

  • Teamwork

  • Collaboration

  • Proven contract preparation skills, with an in-depth knowledge of Medicare, Medicaid, Medicare Advantage, VA and other reimbursement methodologies

  • Strong understanding of Medicare, Medicaid, VA, Medicare Advantage, and commercial insurance reimbursement

  • Strong financial acumen with proficiency in analyzing and interpreting financial trends in the managed care market

    Equal Opportunity Employer – vets, disability.

An equal opportunity employer

LHC Group is an equal opportunity employer. We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status or any other legally protected status. To learn more about the opportunities for you with LHC Group and our affiliates, contact one of our Human Resources team members at 1.866.LHC.Group.

Found here: http://lhcgroup.com/careers

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