Director, Managed Care
Foundation
full-time
Posted on:
Location Type: Remote
Location: United States
Visit company websiteExplore more
Salary
💰 $92 - $154 per hour
Job Level
About the role
- Join the transformative team at City of Hope where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses.
- The Director, Managed Care will plan and execute managed care contracting activities and develop payer strategy to promote patient access.
- Directly oversee all aspects of the day-to-day operations of the Managed Care team and department for COH within an assigned state/market.
- Manage relationships with state-level payer relationships, performance management, and contract compliance.
- Align payer operational strategy with enterprise growth initiatives.
- Identify revenue lift opportunities through improved operational enforcement of contracts.
- Provide recommendations and collaborate with internal stakeholders to monitor contract performance and renegotiate as needed.
- Monitor, evaluate and negotiate new and existing contractual arrangements to conclusion for the City of Hope enterprise.
Requirements
- Minimum Education: Master’s Degree in Business Administration, Health Care Administration, Public Administration, Juris Doctorate, or another relevant advanced field required.
- Minimum Experience: 10+ years working in managed care with experience directing the managed care functions of a managed care organization or academic health care institution nationally recognized oncology program.
- 7 years of experience in a leadership capacity.
- Preferred Experience: At least fifteen years of experience working at a nationally recognized cancer center, large oncology physician practice or academic center with a top tier oncology department.
- Experience contracting for bone marrow/stem cell transplants, CAR T and immunotherapy.
- Skills: Financial acumen and strong skills in financial analysis. Demonstrated strong written and verbal communications skills. Strong negotiation skills and deep knowledge of physician and hospital reimbursement.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
managed care contractingpayer strategycontract compliancefinancial analysisnegotiationreimbursementcontract performance monitoringoperational enforcementoncology program managementcontractual arrangements
Soft Skills
leadershipcommunicationcollaborationrelationship managementstrategic planningproblem-solvingperformance managementrecommendation developmentevaluationorganizational skills
Certifications
Master’s DegreeHealth Care AdministrationPublic AdministrationJuris Doctorate