Prime Healthcare

Mgr Managed Care Contract/Payor Rel - SCDNNJ Admin-Corporate

Facility Prime Healthcare Management Inc
Location
US-NJ-Denville
ID
2021-68735
Category
Manager
Position Type
Full Time
Shift
Days

Responsibilities

Manager of Managed Care Contracting assists the VP of Managed Care Contracting through the development and enhancement of relationships with health plans and other Payors to secure optimal reimbursement and protect the interests of Prime Healthcare through the implementation, interpretation and administration of managed care contracts for the NJ/PA region. Monitors quality and healthcare cost performance improvement activity as it relates to contract reimbursement. Monitors market for legal and regulatory developments in Healthcare as it relates to changes in the Payor landscape. Represents the organization in a positive, professional manner in the community and among other Managed Care and related professional organizations.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

 

1.    Experience with Reimbursement/Claims Settlements required.

2.    Four (4) years of managed care experience, including contracting, provider and payer relations, account management, business development and growth-related functions.

3.    Degree in Finance, Business or Healthcare Administration preferred.

 

 

We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics.  If you need special accommodation for the application process, please contact Human Resources.  EEO is the Law: https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf

 

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