What are the responsibilities and job description for the Mgr. Managed Care position at UMC of El Paso?
Job Summary
The Manager of Managed Care provides strategic, tactical, operational oversight and coordination for developing, recommending and executing the Hospital’s Managed Care agreements, contract performance analysis and ensuring provisions of high quality, customer focused, and cost-effective contract administration. Responsible for identifying and coordinating Medicare business development opportunities by serving as a liaison and advocate to the Medicare eligible population in the education of hospital services available.
Minimum Job Requirements
Work Experience
Five years of related experience in Managed Care Contracting. Three years of management experience are required.
License/Registration/Certificate
None
Education and Training
Bachelor’s Degree in Business Administration or a health related field required, Master’s degree preferred.
Skills
- Excellent analytical skills, negotiation skills and knowledge of reimbursement methodologies.
- Knowledge and understanding of healthcare industry and government reimbursement methodologies including Medicare and Medicaid.
- Posses detailed understanding of financial aspects of rates of return and break-even points, as applied to specific business models at the organizational level, or service line.
- Ability to adapt to and use information system tools available to fulfill job requirements
- Leadership ability, communications, and interpersonal skills are necessary to interact effectively with physicians, management, staff, external agencies/customers and patients/families.
- Solid organization and contract management skills.
- Ability to collect/analyze data to communicate and negotiate terms and provision related to hospital, physician and clinic contracts with insurance companies and other third parties.
- Knowledgeable on Medicare benefits, regulations, and all associated, relevant Medicare data.
