Select Medical

  • Senior Director of Managed Care Contracting

    Job ID
    86843
    Location
    US-PA-Mechanicsburg
    Experience (Years)
    10
    Category
    Professional/Management - Corporate Operations
    Street Address
    4714 Gettysburg Road
    Company
    Select Medical
    Position Type
    Full Time-Regular
    Recruiter email address
    afranklin@selectmedical.com
  • Overview

    The Senior Director is responsible for leading the Critical Illness Recovery Hospital Division's Managed Care Contracting planning, analysis, negotiation, and implementation for new and renegotiated contracts. Lead the division payor strategies to ensure optimal contracting and operational performance. Serve as lead corporate liaison for Operation and Business Development leaders as well as key corporate functional support areas.   Provide overall Managed Care Contracting focus on increasing net revenue through favorable contracts that exceed our costs to provide care as well as on capturing maximum referral volume from each executed contract and increasing out of network volume wherever feasible.  Lead Contracting role for new and JV hospital integration, as well as consolidations/closures.

    Responsibilities

    • Lead role to analyze, negotiate, and implement new and renegotiated contracts for assigned hospital portfolio. Develop payor strategies to ensure optimal contracting and operational performance for Critical Illness Recovery hospitals.
    • Lead liaison for Critical Illness Recovery Operations, key support functions, CEO/Business Development to assure that the requirements of a contract are implemented and maintained.
    • Provide Hospital, payor relations, admissions, and case management support.
    • Participate in Business Development and Integration planning and coordination.
    • Supervise Directors of Managed Care Contracting and Contract Coordinator. Set objectives, review performance, conduct staff professional development, and provide guidance in accordance with department objectives, policies, and procedures.  Facilitate staff recruitment, retention, and onboarding/orientation.

    Qualifications

    • Bachelor’s Degree required/ Master’s degree or higher preferred, or equivalent work experience.
    • 10 or more years demonstrated experience in a managed care setting, post-acute hospital setting, preferably working in provider contracting or provider relations arenas.
    • Extensive knowledge, experience, expertise in Managed Care Contracting negotiations, language, modelling analytics, reimbursement methodologies for acute/post-acute care hospitals, physicians, and ancillary providers.
    • Able to handle multiple projects and perform independently under tight deadlines with a focus on effective implementation, clear and consistent communication and follow-up.
    • Demonstrated skills in attention to detail, superior project management, implementation, and analytical ability as well as the ability to coordinate and lead activities using a collaborative and team approach.

    Select Medical is an EOE.

    #CB