Careers

Director Managed Care in Munster, IN at Community Healthcare System

Date Posted: 11/1/2018

Job Snapshot

Job Description

Job ID:  16198

Category:    Leadership/Management

Facility:    Community Foundation of Northwest Indiana, Inc. • Managed Care

Schedule:    Full-time • Days • 80

Location:  Munster,  IN


The Director of Managed Care provides strategic leadership, financial and administrative oversight of managed care contracting with commercial and governmental payers on behalf of Community Healthcare System and its related entities.  Responsible for planning, developing, directing and maintaining managed care and provider relationships; maintaining information flow in the managed care process for assigned health plans; communicating and ensuring contractual compliance for all contracted entities; and assisting and consulting with Vice President, Managed Care in providing leadership, direction, growth and administration of operations to ensure accomplishment of system objectives.
 
To qualify you must have:
 
•          Bachelors degree in business, finance, management, accounting, health management or other related field is required.  Masters degree in Business or Healthcare Administration is preferred.
•          Minimum of five years of relevant experience is required.
•          A strong background in financial analysis is required.
•          Must demonstrate effective communication skills both written and verbal as well as the ability to exercise independent judgment when working with individuals with different points of view on critical issues.
•          Must possess working knowledge of contractual, administrative, health insurance and operational issues related to managed care organizations, physician groups, hospitals and health insurance benefit plan designs.
•          Must have strong working knowledge of Microsoft Office suite programs including but not limited to Word, Excel, Access, Power Point and Outlook.  Previous experience with databases and contract modeling is preferred.
 

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