Director Managed Care Contracts, Patient Financial Services

WHAT IT'S LIKE AT SGMC HEALTH

Purpose. No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place.

Excellence. We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service.

Team Spirit. We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment.

Award Winning Performance. We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides.

SGMC has great benefit options, depending on the role that you are going into– including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities to expand your skill set. Some of these great benefit options are listed below:

• Low Healthcare Insurance Premiums
• 401(k) with employer match
• Paid Time Off (PTO)
• Employee discounts
• Company paid life insurance
• Short-Term and Long-Term Disability
• Cancer Insurance
• Accident Insurance
• Pet Insurance
• Tuition Reimbursement
• On-the-job training and skills development
• Opportunities for growth and advancement
• Employee Assistance Program

Oversees and/or conducts managed care contract negotiations and impact analysis for all SGMC Health entities, to include acute care hospitals, ambulatory surgery centers, transportation, home health care, urgent care centers, inpatient and outpatient rehabilitation, and employed physicians. Directs contract related financial modeling and analysis. Negotiates fee for services, pay-for-performance and other value-based contracts and participates in the performance review of such contracts across the SGMC Health enterprise.

Monitors payer activity to ensure their compliance with contractual and regulatory terms and provisions. Supervises staff members in the performance of their related duties and responsibilities.

• Bachelors Degree in Health Management, Accounting, Finance or Business Administration required. Equivalent combination of education and experience may be accepted at hiring manager's discretion.
• MBA, MHA or CPA preferred.
• CHFP/FHFMA preferred.
• Relevant Epic Certification(s) preferred

• 10+ years of experience in Health Care Finance or Managed Care industry.

• Experience in or knowledge of managed care business/organizations and their practices.
• Excellent analytical, negotiation, communication, and presentation skills.
• Must be a team player who strives for excellence and is dedicated to outstanding customer service.
• Extensive experience with Microsoft Office - Excel, Access, Word, and Power Point is also required.
• Knowledge of EPIC systems strongly preferred.

Modern, well-lighted, air-conditioned, general office area. Moderate/High stress level. Ability to sit, stand or walk for moderate periods. Reading of printed material. Listening to customers and staff. Verbally responding to customers and staff. Moderately heavy lifting up to 25lbs., reaching, stooping, pushing, pulling, bending, twisting.

See What All Of The Hype Is About