Director of Managed Care Reimbursement
Texas, United States of America
Full Time
2 hours ago
$135,000 - $145,000 USD
No Visa Sponsorship
Key skills
AnalyticsBIProject ManagementCommunication
About this role
Role Overview
- Develop strategic initiatives to grow the company’s revenue stream.
- Work closely with the Managed Care team.
- Report directly to the Vice President of Managed Care Operations.
- Provide strategic analysis and trend evaluation.
Requirements
- Minimum of five years (5) experience in: Finance, Medical Economics or Revenue Cycle
- Versed in modeling and analytics
- Skilled in synthesizing data
- High proficiency maneuvering private, federal & state fee schedules as well as supporting guidelines in a nationwide setting for all payor mix types.
- Provide VP with strategic analysis and trend evaluation
- Translate reimbursement changes & the impact to revenue stream
- Communicate policy changes cross-functionally
- Familiar with various reimbursement models and methodologies including but limited to: Daily Max, Fee for Service, RBRVS, Medicaid, value-based payment models, escalators, bundled payments & shared savings.
- Drive initiatives to identify and recoup underpayments
- Oversee the Payment Compliance & Chargemaster teams
- Support VP in due diligence for strategic partnerships
- Bachelor’s/Masters in Business, Finance, Health Care or related field required
- EMR experience, Raintree experience a plus
- Experience with BI tools
- Advanced Microsoft experience in: Excel, Pivot Tables, Vlookup, etc.
- Effective project management skills
- Strong critical and analytical skills, ability to work strategically
- Excellent oral and written communication skills
- Proven strong organization, interpersonal and management skills.
Benefits
- Medical
- Dental
- Vision
- 401(k)
- Paid time off