Director, Managed Care Contracting
Grant Cooper & Associates
Greater Columbus Area, Ohio
Adena Health System is seeking a Director, Managed Care Contracting. This multi-hospital system (300+ beds and a 150 physician employed group), located just 45 miles south of Columbus OH, is seeking expertise in the realm of Managed Care Contracting.
Adena Health System, has assembled an impressive leadership team and is looking for a highly skilled executive to direct managed care contracting. CEO Mark Shuter was President & CEO of Riverside Methodist Hospital (flagship hospital for OhioHealth) prior to joining Adena in 2005. Keith Coleman, CFO, was previously President, University Hospitals Faculty Services for Case Western Reserve/ University Hospitals in Cleveland and had served as CFO Geisinger Health System. They have created an aggressive vision and are looking for a solid managed care contracting leader to join their dynamic team.
The Director will be responsible for managing and leading all contracting activities including the analysis, evaluation, assessment, development and negotiation of contractual arrangements; negotiation and implementation of carrier arrangements; audit, analysis and oversight of reimbursement performance; and development of collaborative relationships with all third party payers. The Director will also work with leaders in revenue cycle and professional fee billing to implement systems and processes to optimize reimbursement and ensure compliance with managed care contracts.
The successful candidates will possess a Bachelors Degree in Business, Health Administration or related discipline. Must have 10 years of experience overseeing managed care contracting, reimbursement or provider relations with a strong track record of success. Solid analytical skills with ability to negotiate and persuade is key to the success of this role. Experience working in a complex organization is a plus!
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