Job Title:
Regional Manager, Managed Care

Company: Prime Healthcare

Location: denville, NJ

Created: 2024-04-20

Job Type: Full Time

Job Description:

Prime Healthcare is an award-winning national hospital system with 45 acute-care hospitals in 14 states with nearly 50,000 employees and physicians. Through a physician-directed and patient-centered model, passionate dedication to quality, evidence-based best practices, operational efficiency, technology and capital investment, our hospitals are recognized among the best in the nation. Prime Healthcare has been named a "Top 15 Health System" by Truven and our hospitals are consistently among the "Top 100 Hospitals" in the country.Benefits StatementWe offer:Competitive CompensationGenerous benefits plan: Medical, Dental, Vision, 401KSubstantial PTOContinuing Educational OpportunitiesCollaborative work teams & cohorts...and much more!Regional Manager, Managed Care is responsible for managed care contract management and payer relations. The Regional Manager will work on contract negotiations (language and rates); manage ongoing payer relationships; monitor regulatory, provider manual, and related process changes; maintain managed care infrastructure; assist in the measurement of payer compliance with contract terms; JOC management; and assist hospital, business office and physician group management in resolution of issues related to managed care agreements.EDUCATION, EXPERIENCE, TRAININGBachelor of Businesshealthmanagement field or relevant Bachelor's degree5 years of contract negotiationmanaged care experience at a healthcare provider or managed care company preferred.Analytical skills with emphasis on contract development, assessment and negotiation, financial analysis problem solving and projecttime management Excellent verbal and written communication skillsWe are an Equal OpportunityAffirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: