Director Managed Care

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Description

Do you want to join an organization that invests in you as a Director Managed Care? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

At HCA Healthcare, we want to ensure your needs are met. We offer eligible colleagues an attractive benefit package that includes medical, wellbeing, dental and vision benefits along with some unique benefits including:

• Student Loan Repayment
• Tuition Reimbursement/Assistance Programs
• Paid Time Off and Paid Family Leave
• 401k (100% annual match – 3%-9% of pay based on years of service)
• Adoption Assistance
• Employee Stock Purchase Program (ESPP)
• Flexible spending accounts
• Short and long-term disability coverage
• Legal benefits and pet insurance
• Discounted Auto, Home, and Life Insurance and Identity Theft Protection

For more benefits details click here.

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Director Managed Care like you to be a part of our team.

Job Summary: You will administer and coordinate on behalf of HCA Physician Services in their respective Division or Market, all managed care contract negotiation, analysis and compliance activities in support of the managed care strategies, business and financial plans.

Duties include but not limited to:

·Provide managed care support and expertise by attending scheduled meetings with operations leadership, including Division/Market/Practice operations management

·Develop and implement, in conjunction with the Service Center an annual operating plan and managed care strategic plan

·Coordinate and administer managed care contract negotiation process for designated Division/Market/Practice Management

·Oversee individual practice managed care contracting efforts

·Analyze and estimate financial impact of managed care contracts as requested by operations management for Division/Market/Practice

·Coordinate significant managed care analysis and activities with PHO/IPA operators and managed care operations management as appropriate

·Oversee respective service center managed care compliance efforts

·Maintain permanent record of all major payer contracts for respective service center market

·Administer protocols to ensure smooth and timely implementation of contract terms

·Prepare monthly reports to summarize managed care negotiation activities in the Division /Market/Practice.

·Analyze performance and provide evaluation on all existing contracts to operations management annually and/or as requested

·Design and direct Market projects as requested by leadership

·Administer company’s guidelines for managed care contracting and compliance

·Maintain knowledge of state and federal legislative and regulatory laws and rules regarding managed care

·Market Managed Care Product line

Requirements:

• Bachelor’s Degree preferred
• 7+ years of relevant work experience required
• Financial analysis and negotiation skills
• Moderate to Advanced Excel Skills
• Knowledge of Managed Care environment
• Familiarity with Physician/Payer contract language

HCA Healthcare (Corporate), based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and career advancement opportunities, every person has a solid foundation for success. Nashville is also home to our Executive Development Program, where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.

HCA Healthcare has been named one of the World's Most Ethical Companies by Ethisphere Institute for over a decade. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Director Managed Care opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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