Director Of Managed Care

Envision Healthcare Nashville , TN 37201

Posted 3 months ago

Overview

Envision Physician Services is a multispecialty physician group and practice management company. Established in 1953, our organization provides anesthesia, emergency medicine, hospital medicine, radiology, primary/urgent care, surgical services, and women's and children's health services to hospitals and health systems nationwide. Sheridan Healthcare, EmCare, Reimbursement Technologies and Emergency Medical Associates have recently joined forces to form Envision Physician Services. As one organization, we now provide a greater scope of service than any other national physician group. Our collective experience from hundreds of local, customized engagements, culture of continuous lean process improvement, and team of experts in the business of healthcare enable us to better solve complex problems and consistently give healthcare organizations confidence in our execution. Our combined organization serves more than 780 healthcare facilities in 48 states and the District of Columbia.

If you are looking for a stable, fast-paced, growing company in the healthcare industry that is committed to innovation, excellence and integrity, then this may be a great next step in the advancement of your career.

We currently have an exciting opportunity for a Director of Managed Care located in Nashville, TN.

The Director, Managed Care Contracting is responsible for managing a geography and underlying payer contracts. The Director will develop strategies for growing the managed care portfolios associated with the geography assigned. They will provide annual plans to facility clients and operations relative to volume and rate growth. The Director will also lead negotiations of payer contracts with the goal of being a participating provider. This position requires up to 50% travel.

Responsibilities

  • Negotiating contractual and reimbursement terms with market payers.

  • Managing existing contracts to allowable rates are achieved.

  • Creating and maintaining relationships between operations, clients, and payers related to contract performance.

  • Creating and maintaining strong inter-company relationships that facilitate the monitoring of payer issues such as provider participation, contract loading, and payment issues.

  • Maintaining client satisfaction through internal and external communication.

  • Assisting in the development of departmental goals, executing projects to achieve these goals, and working closely with others within the department to continuously monitor department performance.

  • Preparing reports and presentations to monitor portfolio performance, yield, payer enrollment, payer mix, etc.

  • Demonstrated proficiency with financial reports and modeling.

  • Preparing internal training or educational tools as they related to health plan contracting and/or payment policies.

  • Conduct onsite visits with payers, clients and centers that require market specific strategies.

  • Assume responsibility for communication and execution of corporate initiatives.

  • Provides input to the appropriate individuals to contribute to the development of corporate initiatives.

  • Excellent communication skills (written and verbal) to enable the presentation of data in a convincing fashion.

  • Ability to work in a matrix environment where multiple and competing customer demands are likely.

  • Conduct onsite visits with payers, clients and centers that require market specific strategies.

  • Assume responsibility for communication and execution of corporate initiatives.

  • Provides input to the appropriate individuals to contribute to the development of corporate initiatives.

  • Self-directed with a strong bias for action.

  • Excellent customer relationship / management skills.

  • Demonstrated leadership and/or people management skills.

  • Travel overnight and locally as needed.

  • Other duties as assigned.

Qualifications

Education/Experience:

  • 7 to 8 years relevant experience including supervision, managed care contracting, financial analysis, payment methodologies, contract language and negotiations.

  • Equivalent experience considered

  • Bachelor's degree required

Required:

  • Must be fluent in Microsoft Office applications

  • Position requires overnight travel up to 50% of the time

We offer a comprehensive benefits package that includes full Medical, Dental and Vision benefits effective on your first day of employment. A company matching 401 K, tuition reimbursement, company paid Life Insurance and Long-term Disability, as well as generous PTO and Paid Holidays

If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a highly competitive salary and a comprehensive benefits package.

Envision Physician Services uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visitwww.dhs.gov/E-Verify

Envision Physician Services is an Equal Opportunity Employer.

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Director Of Managed Care

Envision Healthcare