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Posted: Thursday, December 14, 2017 12:06 AM

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Industry: Healthcare

Occupational Category: Administrative/Operations

Hours: Full-time

Description: Hiring Regional Director, Oncology Managed Care Contracting. Working in coordination with the Managed Care Team, Network practice leadership, Finance and Program Directors, recommends, develops, coordinates and implements multiple activities in support of managed care initiatives across the organization in specialty areas. Working in coordination with the corporate Administration, Regional Revenue Cycle Management staff and local practice management, directs due diligence, practice integration, and contracting strategy and administration activities. Represents organization in MC market assessments, managed care contract negotiations and related activities. Assists in budget projections.

Responsibilities:

♦ Functions as an independent member of a cross functional team to support the development of new programs and expansion into new opportunities and support of new initiatives.
♦ Performs consulting services in support of business objectives.
♦ Assists in the development and recruitment of new partners; performs thorough review of Business operations that relate to Managed care and payer strategies.
♦ Facilitate the resolution of problem payer issues utilizing personal contacts, negotiations and skills.
♦ Ensures development, implementation and maintenance of managed care policies, procedures and objectives and ensures their adequate execution and compliance
♦ Working in coordination to assists in the recruitment, hiring, and training functions
♦ Supports local, regional and corporate contract administration initiatives by soliciting, ♦ integrating, and distributing data and communications on managed care issues.
♦ Ensures all managed care contracts are negotiated in accordance with budgetary objectives
♦ Ensures accurate profitability analyses are conducted using current pricing and utilization on all managed care bids, quotes and approved unique billing arrangements.
♦ Maintains tracking of all MC contracting initiatives across the specialty/Business Unit
♦ Position will require significant travel up to 50% on average.

Educational Requirements:


♦ Bachelor's degree in Finance, Accounting, Business, or Healthcare Administration or other ♦ relevant field of study
♦ Master’ s degree preferred

Experience Requirements:


♦ 5+ years contract administration experience including 2+ years managerial experience
♦ Extensive experience negotiating oncology managed care contracts with payers/insurance companies on behalf of providers multi-site/multi-state level.
♦ Prior consulting experience with practice management and managed care on the development of market and payer specific strategies and tactics.

Desired Skills:

♦ Knowledge of the Oncology and/or Pharmacology marketplace, highly desired.
♦ Proficiency with analytical tools, Excel, PowerPoint, MS Project, MS Access, Salesforce. Com

• Location: Manhattan, New York City

• Post ID: 143589077 newyork
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