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

Raymond James

2025 Investment Banking Analyst I - Financial Services Group - St. Petersburg, FL Job at Raymond James

 ...subsidiary companies engaged primarily in investment and financial planning, in addition to...  ...merit and business needs. Job Summary Analysts are given a high level of responsibility...  ...practices and procedures of Investment Banking. Fundamental investment concepts,... 

Mediacom Communications

Internet Tech Support Representative I Job at Mediacom Communications

 ...HD TV choices; and superior technology in home security and phone service-are a direct result...  ...of training, the schedule will be 3 weeks work from home, 1 week on-site in the office....  .... Multitasking - ability to talk, type, read and listen. Meet or exceed attendance... 

Creative Financial Staffing

Bookkeeper Job at Creative Financial Staffing

 ...BOOKKEEPER We are seeking a skilled and detail-oriented Bookkeeper to join our client's accounting team. The ideal candidate will have a strong background in accounting, a keen eye for accuracy, and the ability to handle financial data with confidentiality. OVERVIEW... 

University Of Pittsburgh

Clinical Research Assistant Job at University Of Pittsburgh

 ...Conducts research assessments and procedures independently. Oversees operations when leadership is unavailable. Recruits and screens participants, reviews records and surveys, and maintains databases. Performs routine data analysis and prepares reports, data visualizations... 

Turnwell Mental Health Network

Psychiatric Physician Assistant/Nurse Practitioner Job at Turnwell Mental Health Network

 ...Description: Montana Psychiatry & Brain Health Center (Montana Psychiatry), a leading provider of psychiatric services, is seeking an Psychiatric Physician Assistant/Nurse Practitioner who will be responsible for providing general outpatient psychiatric services...