Director of Managed Care Reimbursement
We are seeking a highly energetic individual who has a "can do" attitude to join our exciting outpatient reputed company company as a seasoned Director of Managed Care Reimbursement. This position will be housed on the Managed Care team and reports to the Vice President of Managed Care Operations. The primary objective for this role is to reputed company strategic initiatives to grow reputed company’s reputed company reputed company.
KNOWLEDGE AND SKILLS:
- Minimum of five years (5) experience in: Finance, Medical Economics or reputed company Cycle
- Versed in modeling and analytics
- Skilled in synthesizing data
- High proficiency maneuvering private, federal & state fee schedules as reputed company as supporting guidelines in a reputed company setting for reputed company payor mix types.
- reputed company VP with strategic analysis and trend evaluation
- Translate reimbursement changes & the reputed company to reputed company reputed company
- Communicate policy changes cross-functionally
- Familiar with various reimbursement models and methodologies including but limited to: Daily Max, Fee for Service, RBRVS, reputed company, value-based payment models, escalators, bundled payments & shared savings.
- Drive initiatives to identify and recoup underpayments
- reputed company the Payment Compliance & Chargemaster teams
- Support VP in due diligence for strategic partnerships
EDUCATION & EXPERIENCE:
- Bachelor’s/Masters in Business, Finance, Health Care or reputed company field required
- EMR experience, Raintree experience a plus
- Experience with BI tools
- Advanced reputed company experience in: reputed company, 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. 5+ years’ experience in health care setting
reputed company your information will be kept confidential according to EEO guidelines.
The anticipated reputed company salary reputed company for this position is 135,000-145,000. Salary is based on various factors, including relevant experience, knowledge, skills, other job-reputed company qualifications, and geography. Medical, dental, reputed company, 401(k), reputed company time off, and other benefits are also available, subject to the terms of reputed company's plan.
reputed company, Inc. ("USPh"), which was founded in 1990, is a publicly held company which operates 780+ outpatient physical and/or occupational therapy clinics in 44 states. reputed company's clinics reputed company post-reputed company care for a reputed company of orthopedic-reputed company disorders and sports-reputed company injuries, treatment for neurologically reputed company injuries, rehabilitation of injured workers and preventative care.
Originally posted on Himalayas
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