Director, Managed Care

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🕒 Abril 10

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $92 - $154 / hora

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

🦅 Patrocina Visto H1B

info

🗣️🇺🇸🇬🇧 Inglês obrigatório

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Foundation

11 - 50 funcionários

₿ Cripto

🏪 Marketplace

🛍️ Comércio Eletrônico

💰 $200.000 Seed Round em 2021-02

Crypto • Marketplace • eCommerce

A Foundation é uma plataforma que facilita o comércio de tokens não fungíveis (NFTs), exibindo obras de arte digitais e ilustrações inspiradas em temas cósmicos e transformadores. Ela permite que artistas criem, vendam e exibam seus trabalhos em um mercado crescente, focando na interseção entre criatividade e tecnologia. A plataforma abraça a natureza evolutiva da arte em relação ao cenário digital, particularmente através da lente dos NFTs e da tecnologia blockchain.

Descrição

• Join the transformative team at City of Hope where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. • The Director, Managed Care will plan and execute managed care contracting activities and develop payer strategy to promote patient access. • Directly oversee all aspects of the day-to-day operations of the Managed Care team and department for COH within an assigned state/market. • Manage relationships with state-level payer relationships, performance management, and contract compliance. • Align payer operational strategy with enterprise growth initiatives. • Identify revenue lift opportunities through improved operational enforcement of contracts. • Provide recommendations and collaborate with internal stakeholders to monitor contract performance and renegotiate as needed. • Monitor, evaluate and negotiate new and existing contractual arrangements to conclusion for the City of Hope enterprise.

🎯 Requisitos

• Minimum Education: Master’s Degree in Business Administration, Health Care Administration, Public Administration, Juris Doctorate, or another relevant advanced field required. • Minimum Experience: 10+ years working in managed care with experience directing the managed care functions of a managed care organization or academic health care institution nationally recognized oncology program. • 7 years of experience in a leadership capacity. • Preferred Experience: At least fifteen years of experience working at a nationally recognized cancer center, large oncology physician practice or academic center with a top tier oncology department. • Experience contracting for bone marrow/stem cell transplants, CAR T and immunotherapy. • Skills: Financial acumen and strong skills in financial analysis. Demonstrated strong written and verbal communications skills. Strong negotiation skills and deep knowledge of physician and hospital reimbursement.

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