Director, Managed Care Job at Norton Healthcare, Louisville, KY

ZXpUME9hbE9IR0gyOVdVS3Bwc0R3UmhPcHc9PQ==
  • Norton Healthcare
  • Louisville, KY

Job Description


Location: Louisville, Kentucky
Job ID: 129677
Work Type: Regular Full-Time
Shift: Days
Facility Group: Norton System Services

Job Description


Responsibilities

Responsible 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.

Qualifications

Required:

  • Three years in managed care or revenue cycle
  • Bachelor Degree

Desired:

  • One year in third party payor contracting
  • Master Degree

Screening 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 Supplement

Pay Transparency Notice



PIc7fcb0e3019e-30492-35692439

Job Tags

Holiday work, Full time, Contract work, Shift work,

Similar Jobs

Rutland Regional Medical Center

Medical Assistant - Clinic Job at Rutland Regional Medical Center

Under the direction and supervision of practice providers or nursing staff, the Medical Assistant is responsible for clinical duties to prepare the patient for the encounter, assist the clinicians in the delivery of care, and maintains examination rooms, equipment, and...

AECOM

Technology & Security Consultant Job at AECOM

 ...Description AECOM is seeking a Senior Audio-Visual (AV) Consultant to be based in our Arlington, VA office. The Senior Audio...  ...a global, publicly traded firm access to industry-leading technology and thinking and transformational work with big impact and... 

OM Software

Entry Level Data Analyst Job at OM Software

 ...outlined by the business users. The analyst's role also includes making sure that the...  ...standards. Qualification And Experience Entry Level / Fresh Graduates / Engineers - BS / MS in Business/Data Analytics, Management Information systems,... 

Cardinal Health

Delivery Driver Job at Cardinal Health

 ...medicine technologists on the safe and efficacious use of radioactive drugs for diagnosis and therapy. What Pharmacy Services & Delivery contributes to Cardinal Health Responsible for the prompt and accurate delivery and distribution of radiopharmaceuticals or... 

Helen Ross McNabb Center

KM & Gateway Residential Special Education Teacher Job at Helen Ross McNabb Center

 ...contact note or IEP form. 8. Staff/Professional Development. a. Attend all required trainings. Maintain licensure by attending five days of in-service training per year. Attend/Complete all agency trainings and meetings required. Research and attend one...