CommuniCare Health Services

Manager of Managed Care and Contracting – Skilled Nursing Facility
The
CommuniCare Family of Companies
is a fast-growing provider of long-term care with facilities located throughout 74 states. Our health care centers include over 100 skilled nursing facilities, 5 behavioral health hospitals, 3 substance abuse treatment centers, outpatient behavioral health services, and a transportation company. All our centers are dedicated to the CommuniCare goal of creating
Caring Communities
where staff, residents, patients, and families join hands to overcome their daily challenges.
CommuniCare is currently looking to fill a key position,
Manager of Managed Care and Contracting,
for
Skilled Nursing.
PURPOSE/BELIEF STATEMENT
The Manager of Managed Care and Contracting is responsible for securing managed care contracts for
Skilled Nursing
The Manager is responsible for full-managed care contract life-cycle support, including negotiations of new business and revenue development through continued clinical integration and market expansion. This position reports to the Corporate Director of Contracting &amp; Managed Care.
WHAT WE OFFER
CommuniCare employees enjoy competitive market salaries, PTO plans, and a robust benefits package for full time employees. Our ‘perks at work’ include healthcare plans, life/family balance, education and leadership opportunities, and employee recognition and rewards.
QUALIFICATIONS/KNOWLEDGE/SKILLS/EXPERIENCE REQUIREMENTS
To qualify for the Manager of Managed Care and Contracting role, you must have:
<ul>
<li>Experience with skilled nursing facilities and home health and hospice contracts.</li>
<li>Knowledge and relevant work experience in the Managed Care/insurance sectors including network planning/development, contract negotiations, etc.</li>
<li>Presentation experience, excellent written and verbal communication skills</li>
<li>Proficient knowledge of medical-contracting methodologies, claims pricing, and reimbursement strategies.</li>
<li>Independent thinking and decision-making skills.</li>
<li>Strong analytical and problem-solving skills with attention to detail.</li>
<li>Proficient computer skills and knowledge of Microsoft Office, specifically Excel.</li>
<li>Ability to prioritize and manage multiple projects.</li>
<li>Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction.</li>
</ul>
JOB RESPONSIBILITIES
As Manager of Managed Care and Contracting, you will:
<ul>
<li>Develop and implement strategic plan regarding payors.</li>
<li>Renegotiate reimbursement on an annual basis.</li>
<li>Oversee and leverage existing payor relationships.</li>
<li>Identify the objectives necessary for our company to succeed as a health care system.</li>
<li>Provide support and education related to managed care</li>
<li>Train and educate on Managed Care and serve as a subject matter expert on contract and reimbursement-related issues impacting our industry.</li>
<li>Position may also be assigned to direct supervise certain employee/s.</li>
</ul>

Manager or Managed Care and Contracting

Manager or Managed Care and Contracting

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