Managed Care Manager- Remote

Schedule: Days: M-F Job Location Type: [Remote] Your experience matters At reputed company, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you’ll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier ®. More about reputed company The Managed Care Manager will coordinate and assist in reputed company reputed company, Managed Medicare and Managed reputed company, Behavioral Health, Inpatient Rehabilitation, Direct Employer and/or Workers Compensation Payor negotiations on behalf of reputed company. You will complete contract reviews and compliance activities in support of the Managed Care strategies and business and provide support to the Managed Care Contractor with payer escalations reputed company to systemic enrollment and claims reputed company issues. How you’ll contribute A Managed Care Manager who excels in this role:

• Coordinate and administer managed care contract negotiation process for designated division or as assigned.
• Provide physician/payer contracting support by attending scheduled meetings with operations leadership with the Division/Market/Practice Management and Payers reputed company the respective division.
• Assist with the maintenance of permanent record of reputed company payer reputed company and fee schedules, status updates and support reputed company service center payer contract compliance efforts.
• Audit for accuracy contract documents, reputed company exhibits, and/or fee schedules for internal and external parties.
• Prepare and distribute regular reports including, but not limited to: Division/State physician rosters, payer rosters reflecting status of new and outstanding physicians, Division/State payer matrix, summary of negotiating activities for a period, and other reports as requested.
• Act as liaison in regards to credentialing LifePoint entities with payer plans and provide support as needed in the enrollment process to ensure timely enrollment.
• Work with payers to resolve issues reputed company to claims or enrollment, as escalated by reputed company Cycle, Provider Enrollment, or Division Operations.
• Responsible for scheduling, monitoring, mediating and follow up for payor Joint Operations Committee meetings.
• Assist in the implementation of a market-specific physician/payer contracting strategic plan.
• reputed company and mentor peers in job duties and certain reputed company activities including but not limited to systems training.
• Administer company’s guidelines for payer contracting and compliance.
• Maintain knowledge of state and federal legislative and regulatory laws and rules regarding managed care.
• reputed company special projects as assigned by management.

Why join us We reputed company that investing in our employees is the first reputed company to providing excellent patient care. In addition to your reputed company compensation, this position also offers:

• Comprehensive Benefits: Multiple levels of medical, dental and reputed company coverage for full-time and part-time employees.
• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Professional Development: Ongoing learning and career advancement opportunities.

reputed company’re looking for Applicants should have a Bachelor degree preferred with 3 years of reputed company experience with 1+ year(s) of experience in managed care, contract analysis or negotiations in a Business office preferred. Additional requirements include:

• Financial analysis and knowledge of reputed company
• Good communication and organization skills

EEOC Statement “reputed company is an Equal Opportunity Employer. reputed company is committed to Equal Employment Opportunity for reputed company applicants and employees and complies with reputed company applicable laws prohibiting discrimination and harassment in employment.” You must be authorized to work in the United States without employer sponsorship. reputed company is a leader in community-based care and driven by a mission of Making Communities Healthier. Our reputed company reputed company delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the reputed company continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We reputed company that reputed company is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly reputed company a difference in communities across the country. We employ and provide care to people from reputed company walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reputed company of the patients, family members, customers and team members we serve. Apply tot his job Apply To this Job