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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:
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• 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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