Director of Managed Care

Job Category: Admissions

Job Type: Full-Time

Job Location: LA-Lafayette

Facility Type: Corporate

Shift Type (Clinical Positions): Day Shift

Summary

Acadiana Management Group, LLC dba AMG- Integrated Healthcare Management (AMG), an employee-owned company , is hiring a full-time Director of Managed Care .

The Director of Managed Care provides strategic leadership, financial and administrative oversight of managed care contracting and single case agreements with third-party payors, and contract-related business development on behalf of health system in concert with the V.P. of Patient Financial Services and CFO. Directs and manages the technical/operational aspects of the managed care services provided by the system. Maintains effective relationships with payers to ensure payment issues are resolved in a timely manner. Plans, develops, coordinates and implements policies, and procedures to comply with hospital criteria. Leads all aspects of health system managed care strategies including providing access analysis and operational compliance and supporting decision makers with analysis related to reimbursement and renewals. Primarily responsibility for all third-party payor agreements, specifically the areas of negotiation, interpretation, management, renewal, internal communication and implementation. The Director of Managed Care works in concert with the Corporate Operations Team and facility CEOs to align managed care hospital opportunities and corporate support services with the company’s overall Mission, Vision and Values to be a leading and respected healthcare system. This is not a remote position.

At AMG we offer our employees much more than just a job in the healthcare industry. We offer unique career opportunities for people who have a desire to be part of a team that contributes to making a difference each day for our patients. We invite you to join our team and share your gifts and talents. You will have the opportunity to work for an Employee Stock Ownership Plan (ESOP), as AMG is an employee-owned company!

AMG Integrated Healthcare Management Hospital System is a Top-5 Post-Acute Care Hospital System located in Lafayette and covering six states across the nation. Our mission is an unyielding commitment to Patients, People, and the Pursuit of Healing. We believe our employees are the asset and heart of our organization. We are located in the heart of South Lafayette off of Pinhook Road, on the Vermilion River.

AMG was founded in 1999 and is a privately-owned provider of post-acute health care services, with 13 post-acute care hospitals (LTAC and IRF) and over 1,150 employees. Accounting, billing, coding, credentialing, payroll and human resources, and IT services are provided to our hospital facilities by AMG. Learn more about the quality care we provide by visiting our website at: amgihm.com .

Job Requirements

· Bachelor’s degree in health care management or business administration preferred.

· Five - Eight years of Managed Care experience.

· Demonstrated competencies in the areas of judgment, adaptability, collaboration, influence, drive for results and customer focus.

· Advanced knowledge of managed care.

· Minimum of 5 years of experience in a leadership position.

· Ability to read and communicate effectively and positively in English.

· Must be able to articulately communicate, interpret and explain complex information and comprehend written communication positively.

· Must be able to articulately communicate, interpret and explain complex information and comprehend verbal and electronic communication positively.

· Ability to prioritize multiple projects simultaneously and manage deadlines as required.

· Exceptional critical thinking skills

· Ability to work effectively, independently and as part of a team.

· Strong organization, time and project management skills and multitasking abilities.

· Detailed computer knowledge.

· Possesses excellent interpersonal and human relation skills.

· Detail oriented with strong analytical skills.

· Strong presentation skills.

· Accurate writing and strong proofreading skills.

About Us

AMG is a hospital system committed to our patients, our people, and to the pursuit of healing. As a Top-5 Post-Acute hospital system, we’re known for excellence, integrity, community, and compassion.

Our mission is to return patients to their optimal level of well-being in the least restrictive medical environment. We accomplish this through a multi-disciplined approach that includes aggressive clinical and therapeutic interventions, as well as family involvement. Our high staff to patient ratio ensures individualized attention. Our nurses, therapists, and physicians work with each patient to obtain the best possible outcomes.

Acadiana Management Group, LLC is an equal opportunity employer.