Director, Managed Care

Company: Norton Healthcare
Location: Louisville
Posted on: November 9, 2024

Job Description:

Location: Louisville, KentuckyJob ID: 129677Work Type: Regular Full-TimeShift: DaysFacility Group: Norton System Services Job Description ResponsibilitiesResponsible for overall operational effectiveness of team. Actively assists VP with managed care contracts and negotiations. Develops a communication process due to issues, problems and concerns across the system and leads both internal and external discussions to get issues resolved. Key Accountabilities:Responsible for overall integrity and effectiveness of software system, load, audits and communications with Vendor.Participates actively in negotiations and administration of contracts. Including but not limited to: auditing contract simulations, review of and assisting VP with contract language, providing input and ideas into methodology, ensuring processes are in place to minimize problems that may occur with contracts while assisting all departments with concerns.Responsible for coordination and facilitation of issues and concerns across system for all managed care/third party. Includes but not limited to: oversight of monthly meetings with all payors, coordination of issue logs, central point of contact for regarding payors for all areas: hospitals, physicians, CPA lab, behavioral health and pharmacy.Responsible for management and supervision of team. QualificationsRequired:Three years in managed care or revenue cycleBachelor DegreeDesired:One year in third party payor contractingMaster DegreeScreening requirements: Background check License & education verification Employment reference verification Drug Screen Norton Healthcare offers a competitive benefit package, including: Paid vacation, sick days and holidays Paid parental leave 403b/401k retirement plan View more: Benefits Guide Medical, Dental, and Vision Insurance Discover meaningful career opportunities at NortonHealthcareCareers.com.Norton Healthcare Careers - Together, We Will.Norton Healthcare is a leader in serving adult and pediatric patients from throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. The not-for-profit hospital and health care system is Louisville's third largest employer, with more than 17,000 employees.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.Equal Employment Opportunity is the law.Equal Employment Opportunity is the law SupplementPay Transparency NoticePIa2480fab347c-25660-35692439

Keywords: Norton Healthcare, Covington , Director, Managed Care, Executive , Louisville, Kentucky