Program Director-Specialty Managed Care

Davita Inc.; Baltimore (MD); Remote; Full time

Job summary

Johns Hopkins Health System seeks a Manager for development and negotiation of managed care contracts. This role involves strategic planning, assessing market opportunities, and making recommendations. Candidates should have extensive experience in managed care and a solid educational background in business or healthcare administration.

Benefits

Career growth and development

Employee and Dependent Tuition Assistance

Diverse and collaborative working environment

Affordable and comprehensive benefits package

Qualifications

• 10-15 years' experience in managed care environment required.
• Experience with hospital/physician clinical operations, finance, and marketing preferred.
• Developed experience in contract negotiation and development is a must.

Responsibilities

• Responsible for strategic planning and negotiating managed care contracts.
• Oversees contract evaluation and development processes.
• Creates policies consistent with market demands and JHM goals.

Skills

Contract negotiation

Strategic planning

Market assessment

Financial analysis

Education

Bachelor's in business or health care administration

Master's degree

Job description

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Job Details

Requisition #:

654692

Location:

Johns Hopkins Health System,
Baltimore,
MD 21201

Category:

Manager/Supervisor

Schedule:

Day Shift

Employment Type:

Full Time

YOU BELONG HERE

What Awaits You?

• Career growth and development


• Employee and Dependent Tuition Assistance


• Diverse and collaborative working environment


• Affordable and comprehensive benefits package

Our competitive Benefit Package is designed to support the well-being and financial security of our employees. You can explore the details of our benefits offering by visiting the following link: https://jhhs.mybenefitsjhhs.com/

Summary

Reports to the Vice President Managed Care. Responsible for development, strategic planning, assessing, analyzing and negotiating managed care contracts to maximize Johns Hopkins Medicine's position in the evolving managed care contracting market. Oversees all aspects of evaluating, developing, and negotiating fee for service, and special program contracts. Learns and understands clinical and operational aspects of contract services to develop strong contract terms. Makes strategic recommendations based on assessment of market opportunities. Responsible for assessing legal, financial and strategic implications of all contracting opportunities, including new contacts, contractual amendments and assignments to existing contracts. Represents Johns Hopkins Medical Institutions to third party payors. Works in concert with legal, finance and Hopkins Entity staff to develop workable business arrangements that are consistent with JHM strategic and contracting goals. Assists in development of policies and procedures for contracting which meet the market demands and which are consistent with the needs of JHM stakeholders, including the Office of Johns Hopkins Physicians, JHHS, JHCP, Johns Hopkins Regional Physicians, HCGH, Suburban Hospital, Sibley Medical Center, Ambulatory Surgery Centers, Home Care Group, and other JHM hospital, physician and other clinical entities. Supervises Single Case Agreement staff and process.

Education:

Bachelor's degrees in business or health care administration or related field. Master's degree

preferred.

Work Experience:

Work requires 10-15 years' experience in the managed care environment such as hospital/physician clinical operations, finance and/or marketing. Developed experience in contract negotiation and development required. Experience with non-HSCRC hospital contracting required.

Salary Range: Minimum $63.85/hour - Maximum $111.75/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility.

In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins!

Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

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