Top Managed Care Executive plans and directs all aspects of an organization's managed care function. Responsible for directing and implementing managed care systems for healthcare facilities. Being a Top Managed Care Executive requires a bachelor's degree. Typically reports to a top management. The Top Managed Care Executive manages a departmental function within a broader corporate function. Develops major goals to support broad functional objectives. Approves policies developed within various sub-functions and departments. To be a Top Managed Care Executive typically requires 8+ years of managerial experience. Comprehensive knowledge of the overall departmental function. (Copyright 2024 Salary.com)
This position will focus on the development and growth of strategic partnerships with community physicians, FQHCs and local Managed Medicaid Plans. This position will also work on identifying, managing, and resolving managed care operational issues as well as assisting in Managed Care contracting and negotiations. This position will interact externally with local managed care payors, FQHCs, POs and internally with constituents, including but not limited to: other Managed Care Contracting team members; Conifer for Revenue Cycle matters; USPI Managed Care; Market Operators and Finance team members; Legal; and Managed Care Finance. This position will also lead the resolution of escalated managed care operational issues and identify areas for operational improvement and implement related programs.
Essential job responsibilities include:
Required:
Preferred:
Tenet Healthcare complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
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