At least 10 years of related experience in managed care.
In-depth knowledge of managed care concepts, practices, and procedures.
Master's degree in a related field preferred.
Strategic thinker with a goal-oriented mindset.
Excellent communication and presentation skills.
Responsibilities
Develop and implement managed care strategies for the organization.
Create alignment models like pay for performance and bundled payments.
Negotiate and administer contracts with managed care payers.
Plan, evaluate, and implement various managed care programs.
Oversee contract negotiations with managed care companies.
Benefits
Full-time employment status with a day shift.
Full Job Description
Responsibilities
The Regional VP, Managed Care will develops and implement the managed care strategies for the organization. Develops and implements alignment models such as pay for performance, bundled payments and various forms of risk contracting. Negotiates and administers contracts with managed care payers. Responsible for planning, evaluating, and implementing the various managed care programs. Negotiates contracts with managed care companies.
#LI-DNI
Qualifications
Required qualifications:
1. At least 10 years related experience. 2. In depth knowledge of managed care concepts, practices and procedures. 3. Master's degree in related field preferred.4. Strategic thinker, goal oriented, ability to work independently. 5. Excellent communication and presentation skills.
Preferred qualifications:
1. Payer and provider experience preferred.
Employment StatusFull Time
ShiftDays
About St Francis Medical Center
St. Francis Medical Center is a for-profit hospital in Lynwood, California, United States, owned by Prime Healthcare Services.