Director of Managed Care Reimbursement
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Job Location:
Houston, MS - USA
Monthly Salary:
Not Disclosed
Posted on:
9 hours ago
Vacancies:
1 Vacancy
Job Summary
We are seeking a highly energetic individual who has a can do attitude to join our exciting outpatient healthcare company as a seasoned Director of Managed Care Reimbursement. This position will be housed on the Managed Care team and reports to the Vice President of Managed Care Operations. The primary objective for this role is to develop strategic initiatives to grow the companys revenue stream.
Qualifications :
KNOWLEDGE AND SKILLS:
- Minimum of five years (5) experience in: Finance Medical Economics or Revenue Cycle
- Versed in modeling and analytics
- Skilled in synthesizing data
- High proficiency maneuvering private federal & state fee schedules as well as supporting guidelines in a nationwide setting for all payor mix types.
- Provide VP with strategic analysis and trend evaluation
- Translate reimbursement changes & the impact to revenue stream
- Communicate policy changes cross-functionally
- Familiar with various reimbursement models and methodologies including but limited to: Daily Max Fee for Service RBRVS Medicaid value-based payment models escalators bundled payments & shared savings.
- Drive initiatives to identify and recoup underpayments
- Oversee the Payment Compliance & Chargemaster teams
- Support VP in due diligence for strategic partnerships
EDUCATION & EXPERIENCE:
- Bachelors/Masters in Business Finance Health Care or related field required
- EMR experience Raintree experience a plus
- Experience with BI tools
- Advanced Microsoft experience in: Excel Pivot Tables Vlookup etc.
- Effective project management skills
- Strong critical and analytical skills ability to work strategically
- Excellent oral and written communication skills
- Proven strong organization interpersonal and management skills. 5 years experience in health care setting
Additional Information :
All your information will be kept confidential according to EEO guidelines.
The anticipated base salary range for this position is 00. Salary is based on various factors including relevant experience knowledge skills other job-related qualifications and geography. Medical dental vision 401(k) paid time off and other benefits are also available subject to the terms of the Companys plan.
Remote Work :
Yes
Employment Type :
Full-time
Key Skills
About Company
P4 Physical Therapy believes in placing the well-being of our patients first. We accomplish this by carefully selecting compassionate, dedicated, and team-oriented staff. Our company is therapist owned with over 42 years of qualified therapy experience. Step inside our locations, and ... View more
