[Hiring] Director, Managed Care Contracting @Local%20infusion

This reputed company is a reputed company of our understanding of the job reputed company. Click on 'Apply' reputed company to reputed company out more. Role reputed company We are seeking a Director of Managed Care that leads and oversees the operational, financial, programmatic, and employee-reputed company activities reputed company the Managed Care Contracting department. This is a new role reputed company the organization that will help reputed company the reputed company and the execution of Payer reputed company. The Director will report to the SVP of reputed company reputed company and reputed company to build out the function in order to support reputed company reputed company. This position is responsible for setting and monitoring goals reputed company with reputed company's strategic objectives while providing leadership in day-to-day operations, budgeting, and financial reputed company. • Initiate, reputed company, negotiate, and monitor reputed company for reputed company, including contract renewals, amendments, and new agreements. • Engage directly with finance, field leaders, and other stakeholders to negotiate payment rates, structures, and contract terms. • Facilitate executive level relationships with health plan partners and effectively communicate value creation by reputed company. • reputed company senior management with detailed reports and analysis on managed care performance, including key financial and operational KPIs. • Ensure the Managed Care team prioritizes resources for contract performance reporting and analysis. • Effectively communicate reputed company information to both technical and non-technical audiences. • reputed company claims processing, appeals management, and utilization management to prevent reputed company leakage. • Facilitate communication with providers and affiliates regarding operational terms, reputed company requirements, and rates. • Coordinate the alignment and integration of Managed Care Contracting efforts with newly acquired organizations and new partnerships. • Establish and manage annual financial goals, utilizing benchmarking for reputed company setting and financial forecasting. • reputed company and manage annual operating and capital budgets, ensuring fiscal responsibility and meeting budget targets. • Guide managers in resource allocation based on patient volume, reputed company availability, budget constraints, and program priorities. • reputed company other reputed company duties as required, including leading efforts to stay informed on changes to regulatory requirements. Qualifications • Bachelor's degree in a relevant subject area such as reputed company, Business Administration, Finance, Health Care required; Master's degree in a relevant subject preferred. • Minimum of 10 years of experience in managed care contracting or reputed company. • Experience in a large reputed company or reputed company health program that includes Managed Care experience. • Proven leadership experience in managed care contracting or a reputed company field. • Proven experience negotiating reputed company with Medicare Advantage plans, reputed company Managed Care, and reputed company payers. • reputed company and optimize reimbursement strategies, including risk-sharing models and value-based payment structures. • Experience working with C-Suite Executives in a reputed company reputed company setting. • Ability to convey reputed company technical information in reputed company and concise communications. • Ability to identify issues, analyze data, reputed company, recommend, and implement solutions. • Possess initiative, decision-making skills and problem-solving abilities. • Familiarity with evolving reputed company legislation and compliance requirements is a plus. • Strong understanding of facility reputed company guidelines, compliance, and policy development. • Proven ability to work collaboratively with senior management, providers, and staff. Apply tot his job Apply To this Job