Career Center
Posted: 14-Mar-23
Location: Hendersonville, North Carolina
Salary: Open
Internal Number: 22039271
Description
All the benefits and perks you need for you and your family:
- Benefits from Day One
- Paid Days Off from Day One
- Career Development
- Whole Person Wellbeing Resources
- Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Full Time
Shift: Monday - Friday
Location: 100 Hospital Drive Hendersonville, NC 28792
The role you’ll contribute:
The Director of Managed Care is the primary contact in managed care opportunities, negotiating contracts, problem solving and providing resolutions related to healthcare payers. Identifies opportunities for AdventHealth Hendersonville and AdventHealth Manchester to assist in meeting the healthcare needs of the community by developing a strategic plan, implementing plan, evaluating effectiveness and updating plan as warranted.
The value you’ll bring to the team:
- Maintain positive relationships with AdventHealth local and corporate leadership, managed care organizations and local employers.
- Facilitate the understanding of managed care contracts and terms within the hospital departments, urgent care, home health, physician practices and any other related legal entity.
- Continually re-evaluate managed care contracts, analyzing for market share, strategic opportunities, profitability, and competitiveness.
- Negotiate contract language terms and rates timely and when appropriate.
- Monitor the financial, operational, and strategic impact of each managed care relationship to identify areas for improvement.
- Work with each billing department on managed care claim issues.
- Work with and assisting the CFO with operational or special projects, which include the annual budget templates and market summary overviews.
The expertise and experiences you’ll need to succeed:
- Bachelor's degree in business administration in healthcare related field strongly preferred.
- A minimum of five years of health care leadership experience required in managed care with an emphasis on contracting, contract administration and strategic planning for hospital, ancillary and physician services
