Director, Managed Care

🔥 15 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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 reimbursement tactics • Provide guidance to Operations, Sales, Billing, and Finance teams • Ensure timely and accurate setup and maintenance of contracts with payors, facilities, subcontractors, and other 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 and deliver business opportunities and projects • Work with Audit and Compliance to maintain good standing with entities, regulations, and patients • Evaluate and oversee TPA integration options • Maintain knowledge of current HME products and services • Protect patient confidentiality under HIPAA and complete required compliance training • Select, hire, onboard, train, coach, counsel, and evaluate staff • Establish department goals aligned with organizational strategy • Achieve performance and retention goals and complete performance evaluations

🎯 Requirements

• 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 related position is preferred • Valid and unrestricted driver’s license in the state of residence • 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 • Proficient computer skills and knowledge of Microsoft Office, specifically Excel • Ability to prioritize and manage multiple projects • Technical aptitude to understand data flow through systems and system interaction