Director, Managed Care
Under the VP of Managed Care, the Director, Managed Care will work closely under the guidance of Senior Steward leadership to negotiate reimbursement rates, legal terms, performance programs, and risk arrangements with managed care plans on behalf of Steward Health Care System, LLC (including Steward hospitals, physicians, and ancillary providers). The Director will develop recommended tactics and objectives for negotiations that maximize Steward’s and providers financial performance as well as serve as a mentor to the Senior Contract Managers and act in the VP of Managed Care role if needed.
Other duties will consist of facilitating operational workgroups to gather input and define operational solutions to address health plan policies and procedures.
- Education: Master’s degree strongly preferred.
- Experience: At least ten years as a leader in a managed care environment of a similar capacity including negotiating a wide range of performance based arrangements. Management / supervisor experience highly recommended
- Critical and Analytical Skills: demonstrated leadership role in developing and assessing risk and FFS reimbursement models
- Software/Hardware: Strong knowledge in Microsoft Office applications – Word, Excel, Access, and PowerPoint; proven ability to learn new information systems as necessary.
Other: Understanding of the health care delivery setting including both hospital and physician reimbursement and claims processing.
Job Status: Full Time
Job Reference #: 12387