The Director, Regional Managed Care Operations, is responsible for negotiating local/regional Managed Care agreements with applicable health plans such as Blue Cross Blue Shield AZ, Mercy Care, CareMore, Health Choice, OPTUM, IPAï¿½s, and California providers to support capitated/risk arrangements. Developing and maintaining strong relationships with the personnel at the regional/local health plans is very important to Tenetï¿½s success. The person in this position is also responsible handling all of the ongoing contract operational aspects of the job in terms of interfacing with hospital CEOs, CFOs, DBDs, and other hospital personnel, as well as regional leadership and home office personnel. The Director also works closely with Conifer personnel, Managed Care Legal and others to secure appropriate payment under our revenue cycle operational activities and leading settlement efforts on old, unpaid claims that need to be closed-out. Finally, the Director is responsible for supporting managed care for ACOs/CIOs in the Market
7+ years of Managed Care experience
Bachelorï¿½s degree with Masters or other advanced degree preferred
Strong organizational and communication skills
Strong relationships with people in the industry
Primary Location: Dallas, Texas
Facility: 979-Dallas, Texas
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Internal Number: 2005041387
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.