Manager - Valley Health : Job Details

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This range is provided by Valley Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$80,475.00/yr - $105,000.00/yr

Manager, Managed Care and Payer Contracting

The Manager, Managed Care and Payer Contracting supports the Director in the day-to-day management, including negotiation and development of payer agreements, monitoring of payer performance and adherence to contract terms, creating and/or managing analytical tools, including contract management software, that promote an environment of effective decision-making, maintaining tools to ensure accurate modeling and payment compliance, as well as support of Patient Financial Services operations in its revenue collection mission, support of corporate customers and patients, and support of business analytics and clinical programs. The Manager, Managed Care and Payer Contracting will work closely with and support providers, executives, entity and departmental leadership, corporate teams (provider credentialing, decision support, reimbursement/tax, budgeting, and service line leaders) and other healthcare system teams to support growth opportunities and develop financial/clinical products and services to meet the specific needs of network customers, as well as in the effective and timely delivery of quality financial/information products and services to VHS customers. Must maintain a positive attitude, goal-oriented attitude, promote the messaging of the organization, and maintain a professional and courteous demeanor with all interactions with all providers, coworkers, customers, superiors, and the general public. Critical thinking skills, ability to master new concepts and software applications, high energy, and an innovative spirit are essential traits for the successful candidate.

Education

Bachelor's degree required

Experience

Working knowledge of both Managed Care and Provider Insurance Credentialing required

Working knowledge of government and non-government insurance, payer requirements, and healthcare operations required

Working knowledge of healthcare revenue cycle, healthcare finance, CMS and state regulations and healthcare compliance requirements/activities required

Experience in Epic preferred

Three or more years in healthcare managed care contracting experience required

Qualifications

Ability to maintain positive working relationships with supporting customers, staff, peers, and leadership

Ability to support multiple customers simultaneously

Working knowledge of general accounting and healthcare finance required

Working knowledge of healthcare revenue cycle processes, including claims payment processes

Working knowledge of healthcare managed care and contracting

Working knowledge of technology alternatives applicable to healthcare contract management

Working knowledge of Microsoft Office products, including Outlook, Word, Excel, and Access

Excellent verbal and written communication skills

Seniority level

• Seniority levelNot Applicable

Employment type

• Employment typeFull-time

Job function

• Job functionOther and Management
• IndustriesHospitals and Health Care

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

Paid maternity leave

Tuition assistance

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