Opportunity to join the CoxHealth Network, the managed care contracting team for CoxHealth. The contract finance director plays an integral role in the evaluation and analysis of all managed care, workers compensation and other third party payer contracts. The ideal candidate will have experience working with managed care with an in-depth understanding and analysis of managed care reimbursement for varying provider types, including, but not limited to critical care tertiary hospitals, critical access hospitals, physicians, ancillary providers and rural health clinics.
Negotiate and provide quantitative analysis on commercial and employer group contracts and rate proposals; utilize standard contracting documents in these relationships; develop and implement contract ranking/qualifying system; develop and implement contract tracking system; prepare contract summaries and updates; contract reimbursement troubleshooting. This position is responsible for organizing, preparing and analyzing financial and other data for improved business intelligence. Develop a managed care contract reimbursement tracking system; contract modeling and analysis. Responsible for the development and oversight of policies and procedures for the contracting and provider reimbursement process. Primary manager of contract finance management system; serves as payer customer service liaison; manage/supervise staff.
Required: Bachelors in a Business Related Field
Preferred: Masters of Healthcare or Business Administration
Required: minimum of 3 years related experience in healthcare, insurance, managed care or finance fields
Ability to perform quantitative analysis
Excellent verbal, written and oral communication skills
Establish and maintain working relationships with both internal and external customers
Ability to effectively deal with uncertainty and complex situations
Effective negotiating skills
Internal Number: 20181960
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