MANAGED CARE DIRECTOR

New Today

MANAGED CARE DIRECTOR
Managed Care Director-Managed Care
Qualifications:
Bachelors degree in Business or Healthcare Administration, Contract Law, or equivalent.
Minimum 5-8 years progressive healthcare experience in managed care contracting, developing strategies and reimbursement methodologies.
Demonstrated ability to work collaboratively and creditably with physicians.
Successful track record in developing and implementing managed care strategies.
Demonstrated effective negotiation of managed care contracts.
Must possess strong interpersonal skills and be able to deal successfully with strong personalities.
Demonstrated ability to build and lead a group through consensus building in a quality managed care environment.
Demonstrated strong computer skills — must be proficient in MS Office software, database programs and Excel spreadsheet.
Must demonstrate excellent oral and written skills.
Responsibilities:
Provide effective negotiation of managed care contracts for AMC and HAS.
Develop and maintain a managed care strategic plan using current knowledge of healthcare in general, managed care activities and trends in the region and the nation.
Manage the Messenger Model for communicating potential payer contract information to the hospitals and independent physicians.
Maintains all facility credentialing for Archbold entities, Hospital, SNF, Ancillary departments and others as needed.
Develop and maintain payer performance report cards in conjunction with Revenue Management Department Managed Care Analysts and use this information to enhance contract negotiations.
Demonstrates appropriate Financial skills.
Perks/Benefits:
(for eligible employees):
Have optimal opportunity for career growth within our growing organization
Medical / Dental
Retirement Plan
PTO and paid life insurance
What Sets Us Apart
Archbold Medical Center is a four-hospital, four-nursing-home health system with 540 patient beds. We employ more than 2,500 people and boast an outstanding medical staff of nearly 200 qualified physician specialists. Our flagship hospital, Archbold Memorial Hospital, is a 264-bed hospital located in Thomasville, Georgia. Our system hospitals, also in Georgia, are Archbold Brooks Hospital in Quitman, Archbold Grady Hospital in Cairo, and Archbold Mitchell Hospital in Camilla.
For nearly 100 years, Archbold has been synonymous with high-quality, compassionate medical care. While our exemplary facilities have helped us maintain an excellent reputation, our team members are what makes Archbold special.
You are unique. You have skills and a strong passion for helping people. You also have personal goals, and Archbold wants to help you achieve them. We are a diverse healthcare system that promotes teamwork, continuing education, and leadership, and we are committed to recruiting and retaining the best healthcare professionals to join our Archbold team.
What we offer:
We know that your time and expertise are valuable, and to help our employees be at their best and make the most of their employment experience, we offer a comprehensive and generous benefits package that helps our employees and their families meet the challenges of everyday living.
We strive to be a workplace of choice, and from high-quality medical and dental care benefits to retirement benefits that help build wealth for your future, Archbold is proud to offer our employees one of the best benefits packages in the area.
Below are a few of the benefits Archbold Medical Center offers to employees:
Work/Life Balance
Planning for the Future
Low-Cost Prescriptions
Health & Wellness Benefits
Planning for Life’s Unexpected Moments
Helping You to Advance Your Career
Mission
To provide safe, innovative and compassionate care for our communities.
Vision
A healthier region, stronger communities, meaningful work, and trusted care
PIa801de74faf1-30511-38701363
Location:
Thomasville
Job Type:
FullTime