MANAGED CARE MANAGER-PAYER RELATIONS AND CONTRACTING
Owings Mills, MD
SINAI CORPORATE
MANAGED CARE
Full-time - Day shift - 8:00am-5:00pm
Management & Supervisory
84401
$44.71-$71.54 Experience based
Posted:October 23, 2024Apply NowSave JobSaved
SummaryJOB 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 discipline5-7 years of experience in payer negotiation to include financial analysis and contract languageAdvanced Excel skillsAbilityto 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 experienceAbility to build collaborative relationships internally and externallyMarket/Insurance landscape-must understand the insurance players and products-Commercial (HMO/ASO/EPO/PPO), Medicaid and Medicare AdvantageAbility to multi taskKEY WORDSContract negotiationsAnalyticsManaged careAdditional InformationAs 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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