Director, Managed Care Contracting - Managed Care - Full time, 8hr - Days

Salary Range: 

Position Summary: 

The Director, Managed Care Contracting, contributes to WHHS’ growth and profitability by providing contracting expertise to existing and new contractual relationships; and providing subject matter expertise, guidance, and direction regarding Managed Care Contracts.  This includes coordination of commercial, Medicare Advantage, Medi-Cal Managed Care, Value-Based, Medicare Shared Savings, and other third party managed care contracts and Payor relation activities for Washington Hospital, Washington Township Medical Foundation, and DEVCO entities (surgery centers and other ancillary entities).  The Director will be responsible for overseeing administration, review, and financial analyses of managed care contracts for the healthcare system, performing financial reporting and financial modeling for senior management strategic managed care decision­ making, and overseeing all Payor relations and managed care denial follow-up and resolution activities for the health care system.  In addition to performing the essential functions listed below, may also be assigned other duties as required.

Education:  Bachelor's degree (minimum ten 10 years’ experience can be substituted for formal education) required. Master's degree in health-related field, desired.

Experience: 

• Minimum seven (7) years in a Managed Care Contracting capacity within a health plan or hospital; and at least the five (5) years of experience managing and mentoring Contract Manager or Payor Relations representatives.
• Experience in an administratively responsible position with significant intra-department work.
• Demonstrated interpersonal skills
• Demonstrated skill in working with a large variety of people of various organizations and levels.
• Knowledge of legal terminology, understanding of governmental and legislative regulations.
• Previous experience in the areas of managed care/finance/or patient accounting. 
• Demonstrated ability to perform financial analysis, including managed care contracting financial modeling.
• Computer Skills:  Financial Modeling, Windows 2000, Excel, 2000, Work 2000, PowerPoint.

Skills and Abilities:

• Must possess technical and professional skills and knowledge of finance, patient accounting functions and managed care.  Must possess strong interpersonal skills, be an effective public speaker and be comfortable in working with diverse groups of individuals.  Must be able to competently represent Washington Hospital at administrative functions.   Must be able to work independently and creatively.