Managed Care Modeling and Performance Dir.

We’re a Little Different

Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.

At Mercy, we believe in careers that match the unique gifts of unique individuals – careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.”

Overview:

The Director for Managed Care Modelling and Performance has primary responsibility for providing an economic lens to our payor negotiation strategy, assessing impact of reimbursement changes through payor contract modeling (FFS, value, and risk-based arrangements), and leading economic analysis to support special projects, including strategic and operational decisions related to service line strategy and performance, site of service decisions, or regulatory/policy changes.

Director understands enough of hospital operations and back-office functions to factor implications of reimbursement methodology changes into negotiation strategy and execution.  Must have experience with FFS, value, and risk-based contracts.  Must demonstrate leadership through the development of succession plans, delegation of responsibilities that prepare employees for upward progression, and building a team culture.  Must demonstrate problem-solving and critical-thinking skills, the ability to translate strategy into tactics, and measure and monitor performance against targets.  Director has strong financial acumen and drives economic and financial outcomes.  Director has demonstrated capability to operate in new, ambiguous spaces, develop and articulate direction in complex situations, and communicate effectively plans and outcomes to both leadership and their team.

Qualifications:

• Experience: Minimum five (5) years recent managed care experience including supervision of at least 3-5 resources
• Required Education: Bachelor’s degree in finance, business or health care administration
• Other Skills and Knowledge:
  • Possess a strong understanding of Managed Care operations & reimbursement methodologies
  • Strong financial acumen
  • Complex problem-solving skills
  • Critical Thinking
  • Strategy development and implementation
  • Hands-on leadership ability
  • Must live in a Mercy Service Area; Missouri, Kansas, Oklahoma or Arkansas.  This is a hybrid position.  

We Offer Great Benefits:

Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 32 hours or more per pay period!

We’re bringing to life a healing ministry through compassionate care.

At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We’re expanding to help our communities grow. Join us and be a part of it all.

What Makes You a Good Match for Mercy?

Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We’re also collaborative and unafraid to do a little extra to deliver excellent care – that’s just part of our commitment. If that sounds like a good fit for you, we encourage you to apply.

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