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

Njdobk05UTJaMlRTNEovS1l2U3hSMUlYRUE9PQ==
  • 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

Horizon Develop Build Manage

Bilingual Property Manager (Part-Time) Job at Horizon Develop Build Manage

 ...principles. Growth Opportunities: Be part of a company that is driven to help you...  ...reports. Maintain personnel records, conduct timely reviews and ensure adequate/appropriate...  ...- Ability to work with the public and senior citizens. - Ability to plan and conduct... 

Skillit

HVAC Field Technician Job at Skillit

 ...We are seeking skilled and experienced Commercial HVAC Technicians for various opportunities in markets across the country. As a Commercial HVAC Technician, your primary responsibility will be the maintenance, repair, and servicing of heating, ventilation, and air conditioning... 

Headway

Licensed Marriage and Family Therapist Job at Headway

 ...and admin paperwork for you. Maintain a flexible schedule by deciding how many clients you...  ..., so that you can set the hours that work for you. Grow your caseload by providing...  ...remotely via telehealth while working from home. We accept the following licenses on a... 

PeaceHealth

Trauma and Acute Care Surgeon Job at PeaceHealth

 ...DescriptionPeaceHealth Medical Group is seeking a Trauma and Acute Care Surgeon to join PeaceHealth's growing surgical program at St. John Medical Center in Longview, Washington.Centered on three rivers and the I-5 corridor, you are a short jaunt away from the Portland... 

Wake County Public School System

Math Teacher - 50% Job at Wake County Public School System

Overview: POSITION PURPOSE: Plans and provides for appropriate classroom learning experiences for students. Provides an atmosphere and environment conducive to the intellectual, physical, social and emotional development of individuals to ensure success for every student...