Top Managed Care Executive plans and directs all aspects of an organization's managed care function. Responsible for directing and implementing managed care systems for healthcare facilities. Being a Top Managed Care Executive requires a bachelor's degree. Typically reports to a top management. The Top Managed Care Executive manages a departmental function within a broader corporate function. Develops major goals to support broad functional objectives. Approves policies developed within various sub-functions and departments. To be a Top Managed Care Executive typically requires 8+ years of managerial experience. Comprehensive knowledge of the overall departmental function. (Copyright 2024 Salary.com)
Overview :
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.
S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.
S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection.
With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Responsibilities :
This is a remote position within the US. This position will work with work managed care payers in the Midwest region. Strong preference for Midwest location.
Works closely with the Contract Manager and other Managed Care leadership, to support the negotiation of terms and conditions for Managed Care payer contracts for facility, professional, and ancillary entities.
Primary focus of contracting and negotiation support is to ensure the terms and conditions of the payer contract adhere to the CommonSpirit Health Standards and Guidelines, represent industry best practices for Fee for Service and value-based arrangements, and align with operational objectives
Qualifications :
Last updated : 2024-03-07
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