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Vice President of Managed Care Contracting

Chicago, IL, USA | Gateway Foundation

  • Industry:
    Healthcare - Hospitals
  • Position Type:
  • Functions:
    General Management
    Operations / Production
  • Experience:
    7-10 years
Job Description:
79 people have viewed this job

• Negotiating contracts and securing optimal reimbursement rates that maximize utilization


• Managing insurance agreements and monitoring performance


• Identifying reimbursement issues and recommending solutions


• Coordinating the implementation of managed care contracts with internal departments to develop and maintain systems to disseminate contract information


• Working collaboratively with Revenue Management and Information Services departments to address operations, utilization and reimbursement issues


• Establishing the provider credentialing process


• Leading the contracts team consisting of 2 direct reports


• Provider relations


Requirements The VP of Managed Care Contracting reports to the CFO. The ideal candidate will possess:


• Bachelor’s degree required


• Minimum 7 years of experience evaluating, interpreting, & negotiating insurance contracts, and applying contract methodologies to meet the organization’s strategic plans


• In-depth knowledge of healthcare regulations, policies, and applicable laws


• Knowledge of behavioral health strongly preferred


• Exceptional verbal and written communication skills


• Strong analytical and problem solving skills to promptly identify reimbursement issues and implement effective solutions


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