管理护理合同经理
Mgr Managed Care Contracts
Overview
负责整个系统内日常的管理护理运营和合同事务。计划并指导管理护理的运营实践，包括分析、谈判和维护全系统范围的管理护理协议。监控并更新副总裁关于管理护理和垂直整合相关的政治、法律和监管趋势。与医学经济、决策支持和收入周期运营合作并进行监督，以生成有关管理护理合同表现和运营的报告。计划并监督整个系统内患者财务服务（PFS）和相关收入周期部门的教育工作，以使各部门了解合同条款、语言和合规性。促进与付款方解决合同和运营问题，以提高管理护理合同的表现。为管理护理愿景和目标的实施做出贡献。
Responsibilities
负责整个系统内日常的管理护理运营和合同事务。计划并指导管理护理的运营实践，包括分析、谈判和维护全系统范围的管理护理协议。监控并更新副总裁关于管理护理和垂直整合相关的政治、法律和监管趋势。与医学经济、决策支持和收入周期运营合作并进行监督，以生成有关管理护理合同表现和运营的报告。计划并监督整个系统内患者财务服务（PFS）和相关收入周期部门的教育工作，以使各部门了解合同条款、语言和合规性。促进与付款方解决合同和运营问题，以提高管理护理合同的表现。为管理护理愿景和目标的实施做出贡献。
Qualifications
Education
· 由认可的大学或学院颁发的医疗保健、管理护理合同或相关领域的学士学位 必须
· 无学位者需具备8年医疗保健、管理护理合同或相关领域的工作经验 必须
Work Experience
· 具有5年管理护理合同谈判或相关活动的经验 必须
· 无学位者需具备13年医疗保健、管理护理合同或相关领域的工作经验 必须
· 医院和付款方经验 优先考虑
Business Unit : Company Name
Piedmont Healthcare Corpor
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Overview
Manages the day-to-day Managed Care operations and contracting activities across the system. Plans and directs managed care operational practices including analyzing, negotiating and maintaining system wide Managed Care agreements. Monitors and updates Vice President on political, legal and regulatory trends with respect to managed care and vertical integration. Works with and oversees Medical Economics, Decision Support and Revenue Cycle operations to produce reports concerning managed care contract performance and operations. Plans and oversees education for Patient Financial Services (PFS) and applicable Revenue Cycle departments throughout the system in order to educate departments concerning contract terms, language and compliance. Facilitates resolution of contractual and operational issues with payers in order to enhance managed care contract performance. Contributes to the implementation of managed care vision and goals.Responsibilities
Manages the day-to-day Managed Care operations and contracting activities across the system. Plans and directs managed care operational practices including analyzing, negotiating and maintaining system wide Managed Care agreements. Monitors and updates Vice President on political, legal and regulatory trends with respect to managed care and vertical integration. Works with and oversees Medical Economics, Decision Support and Revenue Cycle operations to produce reports concerning managed care contract performance and operations. Plans and oversees education for Patient Financial Services (PFS) and applicable Revenue Cycle departments throughout the system in order to educate departments concerning contract terms, language and compliance. Facilitates resolution of contractual and operational issues with payers in order to enhance managed care contract performance. Contributes to the implementation of managed care vision and goals.Qualifications
Education
· Bachelor’s Degree from a recognized college or university in healthcare, managed care contracts, or related field Required or
- In Lieu of degree eight (8) years of experience in healthcare, managed care contracts, or related field Required
Work Experience
· 5 years experience in Managed Care contract negotiations or related activities Required or
- In lieu of degree 13 years of experience in healthcare, managed care contracts, or related field Required
- Hospital and payer experience Preferred
Business Unit : Company Name
Piedmont Healthcare CorporateOriginally posted on Himalayas