UF Health
Director of Managed Care Contracting & Operations Join to apply for the
Director of Managed Care Contracting & Operations
role at
UF Health .
Find out more about the daily tasks, overall responsibilities, and required experience for this opportunity by scrolling down now. Overview The Director, Contracting & Operations is responsible for providing guidance and leadership to the Managed Care Account Management and Population Care Management teams for the Gainesville campus. Responsible for direct oversight of Managers, Analysts, Coordinators, Systems Specialists, and others who may function in an Assistant capacity, including those that manage provider enrollment, websites, case agreements, and newsletter processes. Responsibilities
Interface with other operational areas and build strategic relationships between one’s area and other areas. Manage care contracting, including value-based and pay-for-performance contracting, and population health initiatives to position SUFHCN (hospitals, ancillary facilities, and UF and Shands physicians and providers) as a major referral institution for the state of Florida, and as the dominant health care provider within its local service area and surrounding core counties. Ensure the operational efficiency of existing contracts. Work with the Assoc. Vice President of Managed Care in determining payor contracting strategies, negotiating contracts, policy development, departmental goals, and planning. Prioritize and direct the workload of staff and coordinate contract negotiations activity across functional areas (legal, pricing analysis, billing and AR, UF clinics and hospital operations, physicians and other providers, network management and contract management) to ensure contract implementation, execution, and improved contract operational and financial performance. Qualifications
Requires a BS or BA degree in business or healthcare field and 5 to 7 years of experience in the managed care industry—whether payor or provider-related—with direct supervisory experience. In lieu of a BS or BA degree, an AA degree with 7 to 9 years of experience, or a high school diploma with 9 to 10 years of experience. Experience with contract review and financial negotiation and knowledge of financial analysis methods (including payor and provider pricing, actuarial risk analysis, and premium development), claims management, utilization review management, benefit plan management, and financial and accounts receivable report management. Experience in managing projects and the work product of other professional-level personnel. Seniority level
Director Employment type
Contract Job function
Health Care Provider Industries
Hospitals and Health Care
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Director of Managed Care Contracting & Operations
role at
UF Health .
Find out more about the daily tasks, overall responsibilities, and required experience for this opportunity by scrolling down now. Overview The Director, Contracting & Operations is responsible for providing guidance and leadership to the Managed Care Account Management and Population Care Management teams for the Gainesville campus. Responsible for direct oversight of Managers, Analysts, Coordinators, Systems Specialists, and others who may function in an Assistant capacity, including those that manage provider enrollment, websites, case agreements, and newsletter processes. Responsibilities
Interface with other operational areas and build strategic relationships between one’s area and other areas. Manage care contracting, including value-based and pay-for-performance contracting, and population health initiatives to position SUFHCN (hospitals, ancillary facilities, and UF and Shands physicians and providers) as a major referral institution for the state of Florida, and as the dominant health care provider within its local service area and surrounding core counties. Ensure the operational efficiency of existing contracts. Work with the Assoc. Vice President of Managed Care in determining payor contracting strategies, negotiating contracts, policy development, departmental goals, and planning. Prioritize and direct the workload of staff and coordinate contract negotiations activity across functional areas (legal, pricing analysis, billing and AR, UF clinics and hospital operations, physicians and other providers, network management and contract management) to ensure contract implementation, execution, and improved contract operational and financial performance. Qualifications
Requires a BS or BA degree in business or healthcare field and 5 to 7 years of experience in the managed care industry—whether payor or provider-related—with direct supervisory experience. In lieu of a BS or BA degree, an AA degree with 7 to 9 years of experience, or a high school diploma with 9 to 10 years of experience. Experience with contract review and financial negotiation and knowledge of financial analysis methods (including payor and provider pricing, actuarial risk analysis, and premium development), claims management, utilization review management, benefit plan management, and financial and accounts receivable report management. Experience in managing projects and the work product of other professional-level personnel. Seniority level
Director Employment type
Contract Job function
Health Care Provider Industries
Hospitals and Health Care
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