Director, Managed Care – Great Lakes Region

🕒 September 18

🇺🇸 United States – Remote

💵 $150k - $190k / year

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 0%

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AdaptHealth

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2019

📦 Logistics

🏭 Manufacturing

🏥 Healthcare

Logistics • Manufacturing • Healthcare

AdaptHealth is a company that provides healthcare solutions with a focus on respiratory health, sleep health, diabetes health, and wellness at home. With a network of 671 locations in 47 states, AdaptHealth delivers 38,225 home medical supplies each day and holds 2,825 insurance contracts. The company is dedicated to empowering patients to live their best lives, offering products and services such as CPAP machines, oxygen supplies, diabetes supplies, and a variety of medical equipment. AdaptHealth is highly rated by its customers for fast, reliable, and courteous service. They emphasize patient care solutions that integrate seamlessly into daily life, supported by online support and fast shipping services. Their mission is to change lives by providing the necessary healthcare tools to patients nationwide.

📋 Description

• Lead and advance strategic partnerships with Managed Care Organizations, post-acute providers, and health systems • Develop new business and revenue through clinical integration and market expansion • Negotiate alternative payment mechanisms, risk-sharing, and other reimbursement tactics • Guide cross-functional business team members across Operations, Sales, Billing, and Finance • Ensure timely and accurate contract setup and ongoing maintenance with payors, facilities, subcontractors, and other legal entities • Lead and assist with RFPs • Resolve complex issues with minimal management oversight • Serve as subject matter expert on contract and reimbursement issues affecting the home medical equipment and healthcare industries • Manage a client portfolio to identify and deliver business opportunities and projects • Collaborate with Audit and Compliance to maintain good standing with entities, regulations, and patients • Evaluate and oversee TPA integration options • Maintain knowledge of the company’s HME products and services • Protect patient confidentiality and operate within HIPAA guidelines • Complete compliance training and required educational programs • Hire, onboard, train, coach, counsel, and evaluate staff • Establish department goals and objectives aligned with organizational strategy • Achieve organizational performance and retention goals

🎯 Requirements

• Proven leadership skills • Ability to handle complex contract negotiations • Proficient knowledge of medical contracting methodologies and claims pricing/reimbursement strategies • Independent thinker and decision maker • Strong analytical and problem-solving skills with attention to detail • Excellent verbal and written communication • Strategic business partner • Proficient computer skills and knowledge of Microsoft Office, specifically Excel • Ability to prioritize and manage multiple projects • Solid ability to learn new technologies and technical aptitude to understand data flow through systems and system interaction • Bachelor’s degree in relevant discipline from an accredited college required • Seven (7) years of relevant work experience required in contracting, credentialing, or network management • Five (5) years of management experience in a related position preferred • Valid and unrestricted driver’s license in the state of residence