Director - Managed Care - FT Days - MHS

CO010 Memorial Healthcare System; United States; Sur place; USD 180 000 - 260 000; Plein temps

Résumé du poste

Memorial Healthcare System in Hollywood, FL seeks a corporate-level leader to execute enterprise-wide strategic and tactical initiatives for complex negotiations with major national and regional payors. This role manages contracting initiatives across the integrated delivery network to drive positive financial trends, optimize net revenues and secure favorable market pricing.

Collaborating with clinical and administrative leadership, the leader will guide legal, financial and operational

Responsabilités

• Enhance, estimate and preserve net revenues.
• Assures financial viability of contracts through financial analysis and forecasting in conjunction with Financial Analyst(s), contract negotiations and issue resolution.
• Execute strategies and guides operations to protect and build market share.
• Plan and monitor activities of staff and/or team members including hiring, orienting, training, mentoring, continuing education, evaluating, coaching & disciplinary actions, as applicable.
• Execute and manage complex legal, financial and operational contract language negotiations.
• Execute contracting strategy for all service lines in Memorial hospitals, Atlantic Coast Health Network (clinically integrated network), Memorial Health Network (clinically integrated network), MHS employed physicians, transplant programs (including

Description du poste

Location: Hollywood, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.

Summary

Corporate-level leader responsible for executing enterprise-wide strategic and tactical initiatives for complex negotiations with major national and regional payors. Manages execution of contracting initiatives for integrated delivery system and clinically integrated network to drive positive financial trend and to achieve an appropriate market price point on behalf of health system's acute care, ancillary and professional providers. Responsible for securing negotiations of all contractual provisions, evaluating and implementing appropriate financial reimbursement models and supporting operations by collaborating with clinical and administrative leadership to enhance revenue and address payer imposed challenges. Implements strategic and tactical initiatives to achieve organization and department goals.

Responsibilities

• Enhance, estimate and preserve net revenues.
• Assures financial viability of contracts through financial analysis and forecasting in conjunction with Financial Analyst(s), contract negotiations and issue resolution.
• Execute strategies and guides operations to protect and build market share.
• Plan and monitor activities of staff and/or team members including hiring, orienting, training, mentoring, continuing education, evaluating, coaching & disciplinary actions, as applicable.
• Execute and manage complex legal, financial and operational contract language negotiations.
• Execute contracting strategy for all service lines in Memorial hospitals, Atlantic Coast Health Network (clinically integrated network), Memorial Health Network (clinically integrated network), MHS employed physicians, transplant programs (including