Manager – Managed Care Contracting

🕒 il y a 26 jours

🇺🇸 États-Unis – Télétravail

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🦅 Parrain de Visa H1B

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👻 Score fantôme 13%

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🗣️🇺🇸🇬🇧 Anglais requis

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Mercy

10 000+ employés

Fondée en 1886

🏥 Santé

🤝 À but non lucratif

🧘 Bien-être

💰 Grant en 2025-05

Healthcare • Non-profit • Wellness

Mercy est un grand système de santé à but non lucratif, axé sur la communauté, qui exploite des hôpitaux, des cliniques, des centres de soins urgents et de commodité, et des services de télésanté. Il offre des services orientés vers les patients, y compris la prise de rendez-vous, des options de facturation et de paiement, des annuaires de prestataires, des portails pour les patients, un support multilingue, une éducation à la santé communautaire et la coordination des soins, avec un objectif missionnaire de promouvoir la santé et le bien-être dans les communautés qu'il sert.

Description

• Implement Mercy's managed care strategy • Develop and manage relationships with health plans and internal and external stakeholders • Coordinate commercial, Medicare Advantage, Medicaid Managed Care, and other third-party managed care contracts • Manage payer relation activities • Ensure appropriate communication to internal and external constituents regarding programs, services, and relevant information • Perform duties consistently with Mercy's mission, values, and Service Standards

🎯 Exigences

• Bachelor’s degree in Healthcare Administration, Business Administration, or a related field • Minimum of 3–5 years of experience in Managed Care required • Contracting experience preferred • Experience in healthcare finance or revenue cycle is a plus and may be considered trainable for the right candidate, even without a Managed Care or Provider Relations background • Strong financial acumen • Analytical ability and efficiency • Strong problem-solving skills and sound judgment • Effective and timely decision-making • Well-developed oral and written communication skills • Understanding of health care delivery systems and the local/national health care environment • Strong industry relationships and understanding of hospital-physician dynamics • Ability to work under pressure with minimal supervision • Ability to manage multiple complex tasks simultaneously • Ability to complete projects on time and meet deadlines • Ability to learn quickly and understand Mercy services and market potential • High ethical standards

🏖️ Avantages

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Tuition support • Matched retirement plans for team members working 32+ hours per pay period • Fully remote work

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