Director, Managed Care Strategy & Operations

Ascension Healthcare; Oregon City (OR); Remote; USD 60,000 - 100,000; Full time

Job summary

Join a forward-thinking healthcare organization dedicated to transforming patient care through innovative managed care solutions. In this pivotal role, you'll oversee the administration of contract lifecycle management systems, ensuring operational efficiency and compliance while driving strategic initiatives. With a focus on leadership and collaboration, you'll work closely with cross-functional teams to enhance service delivery and improve user satisfaction. This position offers the chance to make a significant impact in a mission-driven environment that prioritizes community well-being and employee development.

Benefits

Paid Time Off (PTO)

Health Insurance Options

Retirement Benefits

Long-term Disability

Tuition Reimbursement

Employee Assistance Programs

Parental Leave

Community Engagement Opportunities

Qualifications

• 5 years of experience in Managed Care with leadership roles.
• Strong understanding of CLM systems and operational efficiency.

Responsibilities

• Oversee Managed Care contract lifecycle management systems.
• Collaborate with stakeholders to align system functionality.

Skills

Managed Care Administration

Contract Lifecycle Management (CLM)

Leadership

Vendor Management

Analytical Skills

Education

High School Diploma or Equivalent

Associate's Degree

Bachelor's Degree

Job description

**Details**

+ **Department:** Managed Care Operations

+ **Schedule:** Full-time, 8 hour day shift, Monday - Friday, Remote

+ **Facility:** Ascension

**Benefits**

Paid time off (PTO)

Various health insurance options & wellness plans

Retirement benefits including employer match plans

Long-term & short-term disability

Employee assistance programs (EAP)

Parental leave & adoption assistance

Tuition reimbursement

Ways to give back to your community

_Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance and salary range at the time of the offer._

**Responsibilities**

Oversees the administration and optimization of the Managed Care contract lifecycle management (CLM) systems, ensuring operational efficiency, process integrity and business alignment. Supports system-wide strategic planning and governance to drive execution of managed care initiatives and operational performance.

+ Manage CLM system administration and daily operations, driving reliability, responsiveness, and user satisfaction.

+ Designs, configures, and reviews CLM system solutions to uphold quality and compliance with standards.

+ Leads requirements gathering, translating business needs into system specifications in collaboration with stakeholders.

+ Serves as the primary liaison for vendor management, overseeing performance and service-level agreements.

+ Oversee system roadmap planning and prioritization of enhancements to support evolving operational needs.

+ Develop and maintain standard operating procedures supporting the contract lifecycle management governance model.

+ Develop and manage system training programs to promote user adoption and improve functional proficiency across teams.

+ Act as an escalation point for complex issues, ensuring timely and effective resolution.

+ Collaborate with cross-functional stakeholders to align system functionality with managed care operations, reporting, and compliance needs.

+ Analyzes and interprets system-wide analytical information and provides system and local level leadership with insightful observations and action plans to address trends.

+ Develops and implements strategic and operational goals and objectives. Ensures policies and procedures are current and in compliance with applicable regulations and standards.

+ Collaborate with executive leadership to define strategic priorities, clarify scope of work, and ensure alignment with organizational objectives. Communicate operational updates and key initiatives.

+ Drive issue resolution by proactively identifying and mitigating risks that may impact success in the assigned area.

+ Reinforces the preparation and development process of presentations, financial reports, and operational metrics to enhance data-driven decision-making.

+ Maintains up-to-date knowledge of CLM best practices, industry changes and managed care requirements by actively engaging in professional development and educational opportunities.

**Requirements**

Education:

+ High School diploma equivalency with 5 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management OR Associate's degree/Bachelor's degree with 3 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management.

**Additional Preferences**

Additional Preferences:

+ ICI certification, preferred.

\#LI-Remote

**Why Join Our Team**

Ascension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it. Explore career opportunities across our ministry locations and within our corporate headquarters.

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

**Equal Employment Opportunity Employer**

Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.

For further information, view the EEO Know Your Rights (English) (https://www.eeoc.gov/sites/default/files/2022-10/22-088\_EEOC\_KnowYourRights\_10\_20.pdf) poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2022-10/22-088\_EEOC\_KnowYourRightsSp\_10\_20.pdf) poster.

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

Pay Non-Discrimination Notice (https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp\_%20English\_formattedESQA508c.pdf)

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

**E-Verify Statement**

This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

E-Verify (https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify\_Participation\_Poster\_ES.pdf)