National Director Managed Care
Location: The Woodlands, TX
Scope of the Job:
This position is based in the Woodlands, Texas; a resort community located just outside of Houston. The position reports to the Vice President Information Services. Your primary responsibility will be to direct managed care related policies, procedures and processes in support of strategic objectives. You will forecast and advise senior management, network operations and managed care on matters concerning net revenues in the areas of Managed Care, Medicaid and Medicare. You will monitor outcomes and focus resources to maintain the profitability and overall performance of payor relationships.
Additionally you will advise product line management on matters of pricing and payor contracting. You will be responsible for overall fee schedule pricing including alternative methods such as capitation and case rate development. You will serve as advisor to management regarding maximizing revenue from managed care products, make recommendations regarding changes needed to enhance revenues.
Candidate Profile and Requirements:
1. Bachelor's degree in Finance, Accounting, Business, Healthcare Administration, or related discipline. MBA, MHA preferred.
2. 10+ years of healthcare management experience in a managed care environment.
3. Significant experience in pricing, reimbursement and healthcare costing analysis.
4. Knowledge of healthcare planning, finance, marketing, reimbursement, and related activities.
Send Resume and Cover Letter to:
Phone: 512 327-7277