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Director Managed Care
SUMMARY: SUMMARY: Under direction of the Vice President Revenue Cycle & Managed Care, manages all aspects of hospital and professional managed care contracting, including contract modeling, language, term and renewals, escalations, and negotiations with payers. Oversees payer underpayments, performance scorecards, and compliance with contract terms. Partners with internal stakeholders including Finance, Revenue Cycle, members of Meritas Health Corporation, Home Health, Case Management, and other clinical partners, and represents NKCH and Meritas Health Corporation in ACO discussions. Leads health system in the development of the managed care strategic plan and oversees deployment of tactics to accomplish goals. EXPERIENCE: Minimum 5-7 years Managed care experience required. EDUCATION: Requ
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