What are the responsibilities and job description for the Exec. Director Contracting & Managed Care position at CHOC Children's?
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Work Location : Orange, California
Work Shift : Day – 08hrs (United States of America)
Why CHOC?
At CHOC, we strive to be the leading destination of children’s health by providing exceptional and innovative care. We are responsible for the overall health of our community’s pediatric population in our hospitals, clinics, and practices. And because of our breadth of care, your career at CHOC can be as diverse and fulfilling as you determine. CHOC’s compensation structure, benefits offerings, and career development programs are geared to helping you achieve your professional and personal goals. Apply now to see where your career at CHOC can take you.
Job Summary
The Executive Director, Contracting & Managed Care develops, recommends and actively participates in specific contract strategy(s) or negotiations for new and renewing payer agreements for a multi-hospital and medical foundation system; initiate contract performance review, analysis and implementation of managed care contract negotiations, organize and lead interdepartmental teams in operationalizing managed care contracts and resolve identified managed care operational issues; participates in the development of contract management information systems. Supports the development and evaluation of new business relationships with physicians, medical groups and payers in order to increase service line volumes, overall commercial contract performance and market share. Provider network development and contracting to support at-risk products.
Pay Range
Minimum $203,507 Midpoint $269,630 Maximum $335,795
Rate of pay is determined by various factors, including but not limited to knowledge, skills, competencies, experience, education, as well as position requirements.
Experience
- Required : Minimum ten years of experience in contracts and managed care in both hospital as well as health plan or physician components under Fee for Service as well as at-risk contracting.
Education
Training
Specialized Skills
Licensure
Work Environments - Functional Demand :
Sedentary - Very light energy level Lift 10 lbs. box overhead. Lift and carry 15 lbs. Push / pull 20 lbs. cart.
Physical Activity Requirements :
Bending, Carry Objects, Climbing, Keyboard use / repetitive motion, Pinching / fine motor activities, Push / Pull, Reaching forward, Reaching overhead, Sitting, Squat / kneel / crawl (Squat & Knee), Standing, Talk or hear, Taste or smell, Twisting, Walking, Wrist position deviation
Physical Activity Lifting
Lifting (Floor to waist level) - Occasional 0-35%, Lifting (Waist level and above) - Occasional 0-35%
Sensory Requirements :
Color Discrimination, Depth Perception, Far Vision, Hearing, Near Vision
Environment Requirements :
Airborne Communicable Disease, Bloodborne Pathogens, Chemical, Dust Particular Matter, Extreme Noise Levels, Extreme Temperatures, Radiation, Uneven Surfaces or Elevations
Non-Discrimination Statement :
CHOC does not discriminate on the basis of age, race, color, religion, national origin, ancestry, marital status, genetic information, disability, sex, gender (including pregnancy, breastfeeding, childbirth, lactation or related medical conditions), gender identity or expression, medical condition, sexual orientation, veteran status, military or uniformed service member status, or other protected characteristics in accordance with state and federal laws.
We encourage individuals from all backgrounds to apply for positions at CHOC, even if your experience doesn’t align perfectly with the listed qualifications for a particular role, as your unique experience may be a great addition to our culture for another one of our opportunities.
If you desire support or accommodations throughout the Talent Acquisition process, please inform your Talent Acquisition Partner.
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Salary : $203,507 - $335,795
