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Director of Managed Care

Company: Cameron Craig Group
Location: South Pasadena
Posted on: December 5, 2019

Job Description:


--
Director of Managed Care will be responsible for managed care and payer contracting for assigned behavioral health facilities in designated region. The Director of Managed Care will ensure appropriate organization, communication and coordination with managed care organizations and payers for and on behalf of Home health operations.
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  • This role is responsible for organization and negotiation of all managed care contracts.
  • Establishes exceptional communication between the payer, and leadership.
  • Leads the payer relations strategies.
  • Collaborates with local and regional finance on data analysis.
  • Responsible for coordinating and conducting key meetings and presentations with payers.--

    Qualifications:

    Bachelor's Degree
    5 years of Practice Management, Managed Care, or Health Plan experience.
    Knowledge of current and evolving home health, hospital and ACO reimbursement methodologies.
    Knowledge of home health payment policies is required, including HHRG and PDGM, modifier coding and common payment adjustments.
    Experience working with large data sets and reporting tools preferred.
    Strong interpersonal, negotiation, conflict management and written communication skills essential.
    Customer service focus with professional appearance and manner.
    Strong analytical skills and excellent organizational skills.
    Microsoft Office (Excel, Word and PowerPoint) mastery required.

Keywords: Cameron Craig Group, Los Angeles , Director of Managed Care, Executive , South Pasadena, California

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