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Horizon Blue Cross Blue Shield of New Jersey

Hopewell, New Jersey

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Director Managed Care
DescriptionSummary:The Director of Managed Care is responsible for enhancing and maintaining managed care operations between the CHRISTUS providers (Acute Care Hospitals, Physicians and Ancillary providers) and managed care payors, including Medicaid and Medicare managed care plans.Additionally, this position is responsible for negotiating managed care contacts on behalf of a Region. This position is accountable to work with corporate and regional staff to ensure the accurate implementation, administration and ongoing monitoring of managed care contracts and corresponding processes and procedures at the facility and System level. This position will lead or participate as part of the System negotiating team for all state level contracts. A high d


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