MANAGED CARE MANAGER-PAYER RELATIONS AND CONTRACTING
LifeBridge Health
Owings Mills, MD
Posted 11/6/2024
Full Time
MANAGED CARE MANAGER-PAYER RELATIONS AND CONTRACTING
- Owings Mills, MD
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SINAI CORPORATE
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MANAGED CARE
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Full-time - Day shift - 8:00am-5:00pm
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Management & Supervisory
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84401
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$44.71-$71.54 Experience based
- Posted:October 23, 2024
Summary
JOB SUMMARY:
- Provides experienced Managed Care Payer contracting negotiationskills and subsequent implementation and ongoing operational support for LifeBridge Health entities.
- Provides project support and acts as an internal liaison and resource for LBH staff and physicians, in addition to acting as an external liaison with payer representatives for resolution of operational and contractual issues.
JOB REQUIREMENTS:
- Seasoned professional knowledge; equivalent to a Master's degree; knowledge in more than one discipline
- 5-7 years of experience in payer negotiation to include financial analysis and contract language
- Advanced Excel skills
- Abilityto lead and negotiate all provider types, such as Ambulatory Surgery, Hospice, Home Health, Physicians, Skilled Nursing, Urgent Care and other ancillary services as needed.
- Strategic planning experience
- Ability to build collaborative relationships internally and externally
- Market/Insurance landscape-must understand the insurance players and products-Commercial (HMO/ASO/EPO/PPO), Medicaid and Medicare Advantage
- Ability to multi task
KEY WORDS
Contract negotiations
Analytics
Managed care
Additional Information
As one of the largest health care providers in Maryland, with 13,000 team members, We strive toCARE BRAVELYfor over 1 million patients annually. LifeBridge Healthincludes Sinai Hospital of Baltimore, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital and Grace Medical Center, as well as our Community Physician Enterprise, Center for Hope, Practice Dynamics, and business partners: LifeBridge Health & Fitness, ExpressCare and HomeCare of Maryland.
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