Manager of Managed Care and Contracting

Manager of Managed Care and Contracting page is loaded## Manager of Managed Care and Contracting locations:
Health Care Facility Management time type:
Full time posted on:
Posted Todayjob requisition :
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- ** Job Address:
** 10123 Alliance Road Blue Ash, OH 45242
** Manager of Managed Care and Contracting – Skilled Nursing Facility
** The
** Communi Care Family of Companies
** is a fast-growing provider of long-term care with facilities located throughout 7 states. Our health care centers include over 100 skilled nursing facilities, 5 behavioral health hospitals, 3 substance abuse treatment centers, outpatient behavioral health services, and a transportation company. All our centers are dedicated to the Communi Care goal of creating
* Caring Communities
* where staff, residents, patients, and families join hands to overcome their daily challenges.

Communi Care is currently looking to fill a key position,
** Manager of Managed Care and Contracting,
** for
** Skilled Nursing / Home Health and Hospice.
**** Remote Position
**** PURPOSE/BELIEF STATEMENT
** The Manager of Managed Care and Contracting is responsible for securing managed care contracts for
** Skilled Nursing / Home Health and Hospice.
** The Manager is responsible for full-managed care contract life-cycle support, including negotiations of new business and revenue development through continued clinical integration and market expansion. This position reports to the Corporate Director of Contracting & Managed Care.
** WHAT WE OFFER
** Communi Care employees enjoy competitive market salaries, PTO plans, and a robust benefits package for full time employees. Our ‘perks at work’ include healthcare plans, life/family balance, education and leadership opportunities, and employee recognition and rewards.
** QUALIFICATIONS/KNOWLEDGE/SKILLS/EXPERIENCE REQUIREMENTS
***** To qualify for the Manager of Managed Care and Contracting role, you must have:
**** Experience with skilled nursing facilities and home health and hospice contracts.
* Knowledge and relevant work experience in the Managed Care/insurance sectors including network planning/development, contract negotiations, etc.
* Presentation experience, excellent written and verbal communication skills
* Proficient knowledge of medical-contracting methodologies, claims pricing, and reimbursement strategies.
* Independent thinking and decision-making skills.
* Strong analytical and problem-solving skills with attention to detail.
* Proficient computer skills and knowledge of Microsoft Office, specifically Excel.
* Ability to prioritize and manage multiple projects.
* Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction.
** JOB RESPONSIBILITIES
***** As Manager of Managed Care and Contracting, you will:
**** Develop and implement strategic plan regarding payors.
* Renegotiate reimbursement on an annual basis.
* Oversee and leverage existing payor relationships.
* Identify the objectives necessary for our company to succeed as a health care system.
* Provide support and education related to managed care
* Train and educate on Managed Care and serve as a subject matter expert on contract and reimbursement-related issues impacting our industry.
* Position may also be assigned to direct supervise certain employee/s.
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