Dallas, Texas, USA
5 days ago
Director Managed Care Contracting
Overview Find Your Passion and Purpose as a Director Managed Care Contracting Reimagine Your Career in Corporate Healthcare As a professional, you know that what you do impacts you as much as our patients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families. We think it’s really special to be a part of our patient’s health journey and create incredible memories while providing world-class patient care. Offer Based on Years of Experience What You Need to Know Director Managed Care Contracting Responsibilities: Work in conjunction with AccentCare Account Executives to prepare contracts for presentation to potential customers. Coordination of contract consolidations due to acquisitions, change of business lines, addition and deletion of AccentCare locations Maintain contract database that includes functional contacts in an organized fashion that allows other departments access to their counterparts for the payor. Respond to requests from contracted entities in regards to credentialing and auditing activities to maintain contract compliance Provide proactive education to the sites and corporate departments about payer contracts and any complex reimbursement issues. Create new payer codes and communicate to agencies and billing department Facilitate financial analysis of high-volume contracts, as assigned. Manage payer risk relationships and assist with managing accounts receivables Schedule regular in person and or phone follow up and periodic meetings with MCO, State and Federal customers to ensure AccentCare performance meets their needs Our Investment in You We are committed to offering comprehensive benefits and rewards to full-time employees who work over 30 hours per week and their families, including: Medical, dental, and vision coverage Paid time off and paid holidays Professional development Company-matching 401(k) Flexible spending and health savings accounts Qualifications Be the Best Director Managed Care Contracting You Can Be If you meet these qualifications, we want to meet you! Bachelors Degree required 5-10 years of experience in healthcare related to government contracting, consulting or managed care Home Health Care Background or Insurance Plan Background required-if coming from provider side must demonstrate knowledge of payers. Knowledge of commercial, Medicaid and Medicaire HMO’s, PPO’s and alternative financing programs Hands on experience with various types of proposal pricing with strong Microsoft skills Requires an organized and articulated individual who has a strong attention to detail and is able to set and meet deadlines Skilled at relationship management with key internal and external partner/contract entities Come As You Are At AccentCare, our care is most compassionate when we empathize and engage with everyone, and we are at our best when we value diverse perspectives, foster open dialogue, and enact change. And we are stronger when each of us is empowered to grow, be our unique selves, and feel a sense of inclusion and belonging. AccentCare is proud of how we are building a culture and inclusive infrastructure to help elevate the voice of all our employees with a special focus on the underrepresented and marginalized. We offer equal employment opportunities regardless of a person’s race, ethnicity, sex, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental disability, physical disability, or any other protected classification. Come As You Are At AccentCare, our care is most compassionate when we empathize and engage with everyone, and we are at our best when we value diverse perspectives, foster open dialogue, and enact change. And we are stronger when each of us is empowered to grow, be our unique selves, and feel a sense of inclusion and belonging. AccentCare is proud of how we are building a culture and inclusive infrastructure to help elevate the voice of all our employees with a special focus on the underrepresented and marginalized. We offer equal employment opportunities regardless of a person’s race, ethnicity, sex, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental disability, physical disability, or any other protected classification.
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