Director of Managed Care Reimbursement

🕒 Junho 10

🤠 Texas – Remoto

🤠 Texas – Remote

💵 $135.000 - $145.000 / ano

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

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U.S. Physical Therapy, Inc.

SiteLinkedInTodas as Vagas

5001 - 10000 funcionários

💼 Consultoria

⚕️ Seguro de Saúde

🏥 Saúde

💰 Post-IPO Equity em 2023-05

Consulting • Healthcare Insurance • Healthcare

A U. S. Physical Therapy, Inc. é uma empresa dedicada a formar parcerias com proprietários de práticas privadas no setor de fisioterapia e terapia ocupacional desde 1990. A empresa foca em fornecer apoio nas operações das clínicas, recrutamento e marketing, garantindo ao mesmo tempo autonomia clínica para seus parceiros. A U. S. Physical Therapy oferece cuidados pré e pós-operatórios para desordens ortopédicas, lesões relacionadas a esportes, reabilitação para trabalhadores feridos e cuidados preventivos, promovendo uma força de trabalho saudável em todo o país.

Descrição

• Develop strategic initiatives to grow the company’s revenue stream • Report to the Vice President of Managed Care Operations • Collaborate with the Managed Care team

🎯 Requisitos

• Minimum of five years (5) experience in: Finance, Medical Economics or Revenue Cycle • Versed in modeling and analytics • Skilled in synthesizing data • High proficiency maneuvering private, federal & state fee schedules as well as supporting guidelines in a nationwide setting for all payor mix types. • Provide VP with strategic analysis and trend evaluation • Translate reimbursement changes & the impact to revenue stream • Communicate policy changes cross-functionally • Familiar with various reimbursement models and methodologies including but limited to: Daily Max, Fee for Service, RBRVS, Medicaid, value-based payment models, escalators, bundled payments & shared savings. • Drive initiatives to identify and recoup underpayments • Oversee the Payment Compliance & Chargemaster teams • Support VP in due diligence for strategic partnerships • EMR experience, Raintree experience a plus • Experience with BI tools • Advanced Microsoft experience in: Excel, Pivot Tables, Vlookup, etc. • Effective project management skills • Strong critical and analytical skills, ability to work strategically • Excellent oral and written communication skills • Proven strong organization, interpersonal and management skills. • 5+ years’ experience in health care setting

🏖️ Benefícios

• Medical, dental, vision, 401(k), paid time off, and other benefits are also available, subject to the terms of the Company's plan.