Director, Managed Care

🔥 22 minutes ago

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AdaptHealth

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2019

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare Insurance • Wellness

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

• The Director, Managed Care is responsible for strategic partnerships with Managed Care Organizations, Post-Acute providers, and Health systems. • Assists with business operations, audit/compliance, and analytical support. • Advises senior management of business opportunities and strategies. • Leads and advances Strategic Partnerships for the Company, including clinical integration, enhancements in reimbursement, and innovative development. • Provides guidance and direction to cross-functional business team members including Operations, Sales, Billing and/or Finance. • Ensures timely and accurate setup and ongoing maintenance of contracts with contracted entities. • Manages a portfolio of clients to identify and deliver on business opportunities and projects.

🎯 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. • 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 possess the technical aptitude required to understand flow of data through systems as well as system interaction.