Manager, Provider Networks

11 - 15 years experience  •  Patient Care

$95K - $105K ($90K - $100K base + 5K, Full Benefits and Relocation Package)
Posted on 12/07/17 by William Greenberg
Atlanta, GA
11 - 15 years experience
Patient Care
$95K - $105K
($90K - $100K base + 5K, Full Benefits and Relocation Package)
Posted on 12/07/17 by William Greenberg

Central Florida hospital is seeking a Manager, Provider Networks.

 

Hospital is a locally owned and governed, not-for-profit healthcare system and the largest, most comprehensive provider of healthcare services in the region. Hospital provides services to Lake, Sumter, and Marion counties through inpatient acute hospital services.

The hospital's growing array of specialty services includes robotic surgery, cardiac care, orthopedics, stroke care, neurosurgery and more. The Rehabilitation Hospital offers inpatient rehabilitation treatment for patients who have had a stroke, traumatic brain injury or other neurological disorder.

POSITION IS BASED IN CENTRAL FLORIDA.

RELOCATION EXPENSES PAID FOR THE QUALIFIED CANDIDATE

POSITION SUMMARY:

*Responsible for analysis, monitoring, and oversight for a wide variety of complex contracts, including third party payers. Provides ongoing maintenance of contracts to ensure compliance. 

*Responsible for Contract modeling through nThrive. 

* Monitors accounts receivable by reviewing all payer accounts, ensuring all

accounts are processed and identify barriers causing delay in payment. 

*Work closelywith executive group and physician-hospital organization (PHO) leadership to secure competitive contracts.

EDUCATIONAL REQUIREMENTS

Bachelor’s Degree

 

 Requirements

Special Skills and Experience:

* Three to five years’ experience in managed care related management position dealing directly with payers, providers, and intermediaries. Minimum of 10 years healthcare finance experience. 

* Minimum of 5 years in the Business Office/Managed Care related management position dealing with payers by analyzing data.

* Proficient in the use of computer software. Skills a) HBOC; b) Excel; c) Word; d) Access; e) ICD10, CPT, DRG coding requirements

Special Skills/Qualifications: 

Accounts Receivable, General Business Office Equipment, Electronic ClaimsProcessing; Communication Skills with emphasis on payer and providers.

POSITION IS BASED IN CENTRAL FLORIDA.

RELOCATION EXPENSES PAID FOR THE QUALIFIED CANDIDATE

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