Regional Director Managed Care Mid America Shawnee, KS

All the benefits and perks you need for you and your family:

Benefits from Day One

Career Development

Whole Person Wellbeing Resources

Mental Health Resources and Support

Shift : Monday- Friday Full time 8am-5pm

Job Location : Merriam, KS

The role you will contribute:

This position will provide leadership for managed care strategy, contracting and contract management for the five hospitals, ancillary services, and employed physicians.

The value you will bring to the team:

• Facilitates understanding of managed care within hospital departments, medical practices, and nursing and rehab centers.

• Manages relationships between managed care organizations, hospitals, ancillary services and employed physicians.

• Continuously re-evaluates managed care contracts, analyzing market share, profitability, and competitiveness.

• Other duties as assigned.

• Participates in leadership meetings and presents credentialing status for all groups.

• Audits and analyzes data for all physician/provider credentialing records, documents, and files.

• Programs applications to generate reports ensuring the accuracy of physician/provider records.

• Facilitates timely renegotiation and rate increases when appropriate.

• Monitors financial, operational, and strategic impact of managed care relationships to identify areas for improvement.

• Works with patient financial services on managed care claim-related issues.

• Assists the CFO with operational or special projects, including annual managed care budgets and market summary overviews.

• Coordinates and maintains credentialing documents necessary for credentialing and re-credentialing of all physicians/providers.

The expertise and experiences you'll need to succeed:

• Bachelor's Degree

• 5 plus years of health care leadership experience required in managed care with an emphasis on contracting, contract administration and strategic planning for hospital, ancillary and physician services

Preferred Qualifications:

• Master's Degree

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Category: Managed Care

Organization: AdventHealth Corporate

Schedule: Full-time

Shift: 1 - Day

Req ID: 25035265

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.