Join University Medical Center of El Paso (UMC) as Director of Managed Care (Director) in our Managed Care Contracting Department. As Director you will provide strategic and operations expertise in negotiating managed care contracts, model and analyze managed care contracts for potential opportunities and collaboratively works with managed care plans to execute Managed Care agreements for the organization.
The Director perform analysis to track identified opportunities through contract negotiations and execution. Identifies and coordinates Medicare business development opportunities in collaboration with strategic business plan. The Director cultivates and manages positive working relationships with managed care plans. Advocates to Medicare and Medicare Advantage eligible population in the education of hospital services available.
Work experience requirements:
Five plus years of related experience in Managed Care Contracting and five years management experience required.
Education/Licensing/Credentials:
Bachelor's degree in Business Administration or healthcare related field required. Master's degree preferred.
Skills:
Excellent analytical skills, negotiation skills and knowledge of reimbursement methodologies.
Knowledge and understanding of healthcare industry and government reimbursement methodologies including Medicare and Medicaid.
Posses detailed understanding of financial aspects of rates of return and break-even points, as applied to specific business models at the organizational level, or service line.
Ability to adapt to and use information system tools available to fulfill job requirements.
Leadership ability, communications, and interpersonal skills necessary to interact effectively with physicians, management, staff, external agencies/customers and patients/families.
Astute organization and contract management skills.
Ability to collect/analyze data to communicate and negotiate terms and provision related to Hospital, Physician and Clinic contracts with insurance companies and other thirds parties.
Knowledgeable on Medicare benefits, regulations, and all associated, relevant Medicare data.
UMC recognizes and reward individuals who join the University Medical Center of El Paso family with a competitive salary and premier benefits that actually save our Associates money. Benefits include:
Excellent compensation package.
Robust benefits including medical, prescription, dental, vision and life insurances.
Eligibility to participate in the Texas County/District Retirement System
(Defined Pension Plan)
403(b) an 457 Retirement Plans
Generous PTO
Tuition/Education reimbursement
Education Loan Dismissal Program
CARES Student Loan Repayment Program
CARES Home Ownership Program
Dynamic teaching environment
Relocation Reimbursement Assistance
and more!
Email resume to: Art Macias, Director of Recruitment & Retention, at 915.521.7468 or via email at amacias@umcelpaso.org