Position Purpose:  To conduct and provide strategic direction to the reimbursement and managed care contracting for this national healthcare provider company.

Role + Responsibilities:

  • This is a hands-on position involving negotiating of national and regional commercial and worker compensation payer contracts
  • Will be an active member of senior operations management team.
  • Providing feedback to senior management concerning contractual issues, market conditions, upcoming pricing issues which have or will have impact on managed care agreements
  • Leading a team of contracting and provider representatives to meet the needs of our expanding company business models.
  • Interfacing and working with the managed care contracts of large private practice acquisitions

Requirements/Qualifications:

  • Bachelor’s Degree or Equivalent work experience required.
  • Minimum of 7-10 years experience of direct managed care contracting experience.
  • Detail oriented with strong organizational and time management skills
  • Strong negotiating skills as well as knowledge of various payor sources such as managed care, industrial, TPAs, Medicare, Medicaid, etc.
  • Understanding of the rehabilitation industry from a National perspective as well as a proven track record of success.
  • Proven leadership and ability to motivate team members.
  • Proficient in Microsoft Excel
  • Excellent administrative, analytical, organizational, verbal and written communication skills required.

 

Additional valued experience:

  • Demonstrated knowledge of managed care processes and provider network development processes.
  • Demonstrated knowledge of managed care lines of business, including MediCare, state Medicaid and Commercial HMO products