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AMN Healthcare Leadership Solutions | B.E. Smith

Director, Managed Care Contract Analysis

AMN Healthcare Leadership Solutions | B.E. Smith, WorkFromHome

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Director, Managed Care Contract Analysis

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Director, Managed Care Contract Analysis

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Job Description & Requirements
Director, Managed Care Contract Analysis

Job Description & Requirements
Director, Managed Care Contract Analysis
StartDate: ASAP
Drive strategy, shape partnerships, and make a difference—exciting opportunity as Director of Managed Care Contracting at Children’s Health in Dallas, Texas!
Permanent | Hybrid
The Position

  • The Director, Managed Care Contracting, will oversee hospital and professional billing analytics, including contract modeling, financial analysis, EPIC contract build, and revenue optimization, while leading a team of analysts to support contract performance and organizational goals.
  • The Director will report to the Vice President of Managed Care and lead a team of four direct reports.
  • This leader will oversee financial and data analysis, support contract management and modeling, assist the legal team with depositions, and provide reporting and strategic recommendations to executive leadership.
  • Ideal candidates will be subject matter experts in Managed Care and Payor/Provider relations, with a strong background in analytics and experience with the EPIC system. They should be proven leaders with the ability to mentor staff, demonstrate initiative and drive, and possess excellent communication skills, along with a passion for their work and a willingness to go above and beyond.
  • This position is primarily remote, with occasional onsite requirements. Candidates must reside in Texas or be willing to relocate.

Requirements
  • Bachelor’s degree required; Master’s degree preferred.
  • EPIC certification required, or ability to obtain within one year of hire.
  • A minimum of seven years’ experience in financial analysis, data mining, and reporting, with expertise working in electronic health records, hospital billing systems, complex databases, and statistical analysis, along with at least five years of leadership experience in a healthcare setting, is required.

The Organization
  • Children’s Health, a not-for-profit hospital system with two full-service hospitals licensed for 610 beds and four outpatient centers, is one of the largest and top-ranked pediatric hospitals in the United States.
  • For more than 100 years, the organization's mission has been to make life better for children. The organization has a long-standing commitment to their community that includes not only high-quality patient care but also advocacy, education, and preventive care.
  • Children’s Health has held the ANCC Magnet designation for nursing excellence since 2009. They are nationally ranked in all 10 pediatric specialties by U.S. News & World Report, serve as the primary pediatric teaching facility for the University of Texas Southwestern Medical Center, and are recognized for quality care in every specialty.
  • Children’s Health provides treatment for the full range of healthcare issues, including advanced comprehensive treatment for the most acute and complex cases such as heart disease, cancer, and cystic fibrosis.
  • Children’s Health has been named for nine consecutive years as one of the 150 Best Places to Work in Healthcare by Becker’s Hospital Reviews, and they have been ranked #26 on the Best Health Care Companies to Work for in Texas.

The Community
  • Dallas, Texas, the largest economic center of the 12-county Dallas–Fort Worth–Arlington metropolitan area, has no shortage of things to do; from Pritzker Prize-winning architecture to innovative dining and memorable entertainment, there’s plenty of sights to see for everyone of all ages.
  • If culture is what you crave, then Dallas has enough award-winning Broadway productions, art-house theatres, comedy clubs, orchestral experiences, and ballets to keep your interest piqued for many moons.
  • Take a trip outdoors to some great locations such as White Rock Lake, Klyde Warren Park, Katy Trail, or Dallas Arboretum.
  • From The Sixth Floor Museum and Dealey Plaza to the West End and Southfork Ranch, the city offers an array of historical sites to visit, explore, and learn from.

Please Direct All Inquiries, Applications, And Referrals To
Amy Simonson
Executive Recruiter


#BESmith
#BESRecruitment
Facility Location
Known to locals as simply “Big D,” everything in this sprawling Texas town is larger than life. A major center for banking, finance and oil, Dallas knows how to balance business and pleasure. It boasts more shopping centers than any other U.S. city, an abundance of sporting pleasures and excellent travel nursing assignments at its leading facilities.
Job Benefits
About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.
Managed Care, Health Plan, Payor, Provider Services, Payer

Seniority level

  • Seniority level

    Director

Employment type

  • Employment type

    Full-time

Job function

  • Job function

    Health Care Provider

  • Industries

    Hospitals and Health Care

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