Director, Managed Care

Company: Norton Healthcare
Location: Louisville
Posted on: November 20, 2024

Job Description:

Location: Louisville, Kentucky
Job ID: 129677
Work Type: Regular Full-Time
Shift: Days
Facility Group: Norton System Services Job Description
Responsibilities

Responsible for overall operational effectiveness of team. Actively assists VP with managed care contracts and negotiations. Develops a communication process due to issues, problems and concerns across the system and leads both internal and external discussions to get issues resolved. Key Accountabilities:

• Responsible for overall integrity and effectiveness of software system, load, audits and communications with Vendor.
• Participates actively in negotiations and administration of contracts. Including but not limited to: auditing contract simulations, review of and assisting VP with contract language, providing input and ideas into methodology, ensuring processes are in place to minimize problems that may occur with contracts while assisting all departments with concerns.
• Responsible for coordination and facilitation of issues and concerns across system for all managed care/third party. Includes but not limited to: oversight of monthly meetings with all payors, coordination of issue logs, central point of contact for regarding payors for all areas: hospitals, physicians, CPA lab, behavioral health and pharmacy.
• Responsible for management and supervision of team.
  Qualifications
  
  Required:
  • Three years in managed care or revenue cycle
  • Bachelor Degree Desired:
    • One year in third party payor contracting
    • Master Degree Screening requirements:
      
      • Background check
      • License & education verification
      • Employment reference verification
      • Drug Screen Norton Healthcare offers a competitive benefit package, including:
        
        • Paid vacation, sick days and holidays
        • Paid parental leave
        • 403b/401k retirement plan
        • View more: Benefits Guide
        • Medical, Dental, and Vision Insurance Discover meaningful career opportunities at NortonHealthcareCareers.com.
          Norton Healthcare Careers - Together, We Will.
          Norton Healthcare is a leader in serving adult and pediatric patients from throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. The not-for-profit hospital and health care system is Louisville's third largest employer, with more than 17,000 employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Equal Employment Opportunity is the law. Equal Employment Opportunity is the law Supplement Pay Transparency Notice
          
          
          
          PIc7fcb0e3019e-30492-35692439

Keywords: Norton Healthcare, Cincinnati , Director, Managed Care, Executive , Louisville, Ohio