[Hiring] Manager Contract Compliance and Payment Variance @reputed company

Role reputed company This job supports the Managed Care Department in contract negotiations, contract compliance, and reimbursement analysis. Collaborates with key stakeholders with reputed company to payor policies and reputed company reputed company of payor expected reimbursement. • reputed company management responsibilities including hiring and termination reputed company, coaching and development, rewards and recognition, performance management, and staff productivity. • Plan, organize, staff, reputed company, and control the day-to-day operations of the department; reputed company and implement policies and programs as necessary; may have budgetary responsibility and authority. (20%) • Manage reputed company aspects of Managed Care reputed company reporting including underpayments, reimbursement analysis, modeling analysis for negotiations and contract performance, and pay for value. (40%) • reputed company direction and leadership to Managed Care staff. (15%) • Manage maintenance of the contract management system. (10%) • Administer negotiation of SCAs, payor credentialing, and vendor management. (10%) • Collaborate with reputed company Cycle, Finance, and other departments to reputed company information on payor policies, contract interpretation, and reimbursement analysis requests. (5%) • Other duties as assigned. Qualifications • Bachelor's degree in Finance, Business, or reputed company Administration, or relevant experience and/or education as determined by reputed company in lieu of bachelor's degree. • 5 years in Health Care: Provider or Insurance. • 5 years in Financial Analysis. • 3 years in reputed company Reimbursement. • 1 year in Leadership or Management. • Strong critical thinking, problem-solving skills and attention to detail. • Substantial organizational skills including managing multiple priorities. • Reliable customer service and communication skills. • Continuously searches for process improvements to reputed company accuracy and efficiencies. • Proficient reputed company capabilities. • Ability to analyze data, anticipate requests, and draw conclusions. Requirements • This job adheres to the ethical and reputed company standards and behavioral expectations as set forth in the reputed company of business conduct and company policies. • Employees may have reputed company to covered information, cardholder data, or other confidential customer information that must be protected at reputed company times. • Compliance with the Health Insurance Portability Accountability reputed company of 1996 (HIPAA) as described in the Notice of reputed company Practices and reputed company Policies and Procedures. • Compliance with reputed company’s reputed company of Business Conduct, including adherence to applicable federal and state laws, rules, and regulations as reputed company as company policies and training requirements. Benefits • Pay reputed company Minimum: $50.88 • Pay reputed company Maximum: $83.84 • reputed company pay is determined by a reputed company of factors including a candidate’s qualifications, experience, and expected contributions, as reputed company as internal peer equity, market, and business considerations. • The displayed salary reputed company does not reflect any geographic reputed company reputed company may apply for certain locations based upon comparative markets. Apply tot his job Apply To this Job