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DIRECTOR, MANAGED CARE (OON INITIATIVE)

Company: Envision Physician Services--
Location: Nashville
Posted on: February 25, 2021

Job Description:

DIRECTOR, MANAGED CARE (OON INITIATIVE) in Nashville, Tennessee - Careers at NASHVILLE 20 Burton Hills Blvd Skip Branding DIRECTOR, MANAGED CARE (OON INITIATIVE) in Nashville, Tennessee - Careers at NASHVILLE 20 Burton Hills Blvd Skip to Main Content Please Enable Cookies to Continue Please enable cookies in your browser to experience all the personalized features of this site, including the ability to apply for a job. Welcome page Welcome page Returning Candidate? Log back in! DIRECTOR, MANAGED CARE (OON INITIATIVE) Job Locations US-TN-Nashville Company Enterprise Requisition ID 2021-25710 Category Managed Care Overview Envision Physician Services is a multispecialty physician group and practice management company. Established in 1953, our organization provides anesthesia, emergency medicine, hospital medicine, radiology, primary/urgent care, surgical services, and women's and children's health services to hospitals and health systems nationwide. Sheridan Healthcare, EmCare, Reimbursement Technologies and Emergency Medical Associates have recently joined forces to form Envision Physician Services. As one organization, we now provide a greater scope of service than any other national physician group. Our collective experience from hundreds of local, customized engagements, culture of continuous lean process improvement, and team of experts in the business of healthcare enable us to better solve complex problems and consistently give healthcare organizations confidence in our execution. Our combined organization serves more than 780 healthcare facilities in 48 states and the District of Columbia. We currently have an exciting opportunity for a--Director of Managed Care s upporting our-- Managed care out of network arbitrations initiative. The--Director of Managed Care position will be responsible for execution of the overall managed care payor dispute resolution strategy and processes within Envision's physician service lines. This will include support in development of both state and national strategies, analyzing market data to inform and support those strategies, and conducting negotiations in settlement and arbitration processes. The position will report directly to Envision's head of Managed Care and work extensively with the regional contract negotiation teams responsible for managing the geographic portfolios across all professional service lines. Additionally, the position will collaborate across a matrixed team of revenue cycle, legal, and administrative resources and possess executive level visibility. Responsibilities

  • Skilled negotiator with a proven track record and able to achieve results in challenging environments, including direct experience within contract and dispute resolution negotiations.
  • Possesses a strong understanding of the healthcare industry and payor-provider reimbursement methodologies as well as pricing strategies.
  • Develops and maintains a deep understanding of state and federal legislation related to payment initiatives and policy changes.
  • Experience with using, managing, and interpreting large amounts of healthcare data.
  • Deploys superior analytical skills in the development and use of focused market datasets to assist in dispute resolution proceedings
  • Attention to detail and willingness to independently and collaboratively analyze market conditions in order to execute complex and data-driven negotiation
  • Ability to deliver time-pressured projects on-time and with the desired results through a structured project management (time, team, work-stream management) approach.
  • Excellent written and oral communication skills, confident and impactful presenter.
  • Ability to work in a matrix environment and manage a large number of matters simultaneously
  • Fosters strong inter-company relationships that facilitate cross functional monitoring of payor issues
  • Assisting in the development of departmental goals, executing projects to achieve these goals, and working closely with others in the department to continuously monitor department performance
  • Willingness to assume responsibility for communication and execution of corporate initiatives
  • Self-directed with a strong bias for action
  • Excellent customer relationship / management skills
  • Demonstrated leadership and/or people management skills
  • Travel overnight and locally as needed
  • Other duties as assigned.--
  • Responsible for adhering to Information Security Policies and ensuring Envision is as secure as possible. Qualifications Education/Experience:
    • 3 to 5 years relevant experience including supervision, managed care contracting, financial analysis, payment methodologies, contract language and negotiations.
    • Equivalent experience considered
    • Bachelor's degree required Required:
      • Must be fluent in Microsoft Office applications
      • Position requires overnight travel up to 50% of the time We offer a comprehensive benefits package that includes full Medical, Dental and Vision benefits effective on your first day of employment. A company matching--401 K, tuition reimbursement, company paid Life Insurance and Long-term Disability, as well as generous PTO and Paid Holidays If you are ready to join an exciting, progressive company and have a strong work ethic,--join our team of experts!--We offer a highly competitive salary and a comprehensive benefits package. Envision Physician Services--uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify Envision Physician Services is an Equal Opportunity Employer. #LI-TS1 Options Apply here for this job Apply Share Refer someone you know Refer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Loading... Connect With Us! Not ready to apply? Connect with us for general consideration. Application FAQs Software Powered by iCIMS
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Keywords: Envision Physician Services--, Nashville , DIRECTOR, MANAGED CARE (OON INITIATIVE), Executive , Nashville, Tennessee

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