Illinois Bone & Joint Institute
Managed Care Manager
Illinois Bone & Joint Institute, Chicago, Illinois, United States, 60290
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Managed Care Manager
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Illinois Bone & Joint Institute 2 weeks ago Be among the first 25 applicants Join to apply for the
Managed Care Manager
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Illinois Bone & Joint Institute Get AI-powered advice on this job and more exclusive features. Summary
Responsible for all aspects of payer relations. Overall goal of, managing payor relationships and contract negotiations to meet the organization's strategies and financial success. Cultivates relationships to assist with problem resolution while positively advocating and removing barriers to access to ensure coverage and reimbursement. Contract negotiations: Lead contract negotiations with payers to secure favorable reimbursement rates and terms for all segments of IBJI. This includes physicians services in office and surgical setting, imaging, rehabilitation and ASC’s. Analyze the potential impact of contract renegotiations by modeling the financial impact. Market access strategy development: Contributing to the development and execution of strategies to gain access to payer networks and maximize patient access to services. Payer policy analysis: Monitor and analyze payer policies, coverage guidelines and reimbursement methodologies to identify potential challenges and opportunities. Educate leadership, revenue cycle and operations of these challenges and opportunities. Quality management: Key knowledge of payor quality measurement tools. Collaborate with internal teams to coordinate strategy and understanding of financial and clinical implications.
Job Type
Full-time
Description
Summary
Responsible for all aspects of payer relations. Overall goal of, managing payor relationships and contract negotiations to meet the organization's strategies and financial success. Cultivates relationships to assist with problem resolution while positively advocating and removing barriers to access to ensure coverage and reimbursement.
Essential Duties
Contract negotiations: Lead contract negotiations with payers to secure favorable reimbursement rates and terms for all segments of IBJI. This includes physicians services in office and surgical setting, imaging, rehabilitation and ASC’s. Analyze the potential impact of contract renegotiations by modeling the financial impact. Market access strategy development: Contributing to the development and execution of strategies to gain access to payer networks and maximize patient access to services. Payer policy analysis: Monitor and analyze payer policies, coverage guidelines and reimbursement methodologies to identify potential challenges and opportunities. Educate leadership, revenue cycle and operations of these challenges and opportunities. Quality management: Key knowledge of payor quality measurement tools. Collaborate with internal teams to coordinate strategy and understanding of financial and clinical implications.
Requirements
Job Qualifications
Bachelor's degree is required, advanced degree is preferred. Experience in contract negotiations Deep knowledge of healthcare, managed care strategy, pricing and medical reimbursement environment required. Proven ability of successfully managing complexity, solving problems and building strong relationships. Ability to work well independently as well as collaboratively; self motivated and disciplined to meet deadlines in the context of competing priorities and projects; lead and work effectively with cross-functional teams Computer literacy, including high level of competency in Excel
Base salary offers for this position may vary based on factors such as location, skills and relevant experience. We offer the following benefits to those who are benefit eligible (30+ hours a week): medical, dental, vision, life and AD&D insurance, long and short term disability, 401k program with company match and profit sharing, wellness program, health savings accounts, flexible savings accounts, ID protection plan and accident, critical illness and hospital benefits. In addition, we offer paid holidays and paid time off.
Salary Description
$71K-$95K annually based on experience level Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at Illinois Bone & Joint Institute by 2x Get notified about new Clinic Manager jobs in
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Managed Care Manager
role at
Illinois Bone & Joint Institute 2 weeks ago Be among the first 25 applicants Join to apply for the
Managed Care Manager
role at
Illinois Bone & Joint Institute Get AI-powered advice on this job and more exclusive features. Summary
Responsible for all aspects of payer relations. Overall goal of, managing payor relationships and contract negotiations to meet the organization's strategies and financial success. Cultivates relationships to assist with problem resolution while positively advocating and removing barriers to access to ensure coverage and reimbursement. Contract negotiations: Lead contract negotiations with payers to secure favorable reimbursement rates and terms for all segments of IBJI. This includes physicians services in office and surgical setting, imaging, rehabilitation and ASC’s. Analyze the potential impact of contract renegotiations by modeling the financial impact. Market access strategy development: Contributing to the development and execution of strategies to gain access to payer networks and maximize patient access to services. Payer policy analysis: Monitor and analyze payer policies, coverage guidelines and reimbursement methodologies to identify potential challenges and opportunities. Educate leadership, revenue cycle and operations of these challenges and opportunities. Quality management: Key knowledge of payor quality measurement tools. Collaborate with internal teams to coordinate strategy and understanding of financial and clinical implications.
Job Type
Full-time
Description
Summary
Responsible for all aspects of payer relations. Overall goal of, managing payor relationships and contract negotiations to meet the organization's strategies and financial success. Cultivates relationships to assist with problem resolution while positively advocating and removing barriers to access to ensure coverage and reimbursement.
Essential Duties
Contract negotiations: Lead contract negotiations with payers to secure favorable reimbursement rates and terms for all segments of IBJI. This includes physicians services in office and surgical setting, imaging, rehabilitation and ASC’s. Analyze the potential impact of contract renegotiations by modeling the financial impact. Market access strategy development: Contributing to the development and execution of strategies to gain access to payer networks and maximize patient access to services. Payer policy analysis: Monitor and analyze payer policies, coverage guidelines and reimbursement methodologies to identify potential challenges and opportunities. Educate leadership, revenue cycle and operations of these challenges and opportunities. Quality management: Key knowledge of payor quality measurement tools. Collaborate with internal teams to coordinate strategy and understanding of financial and clinical implications.
Requirements
Job Qualifications
Bachelor's degree is required, advanced degree is preferred. Experience in contract negotiations Deep knowledge of healthcare, managed care strategy, pricing and medical reimbursement environment required. Proven ability of successfully managing complexity, solving problems and building strong relationships. Ability to work well independently as well as collaboratively; self motivated and disciplined to meet deadlines in the context of competing priorities and projects; lead and work effectively with cross-functional teams Computer literacy, including high level of competency in Excel
Base salary offers for this position may vary based on factors such as location, skills and relevant experience. We offer the following benefits to those who are benefit eligible (30+ hours a week): medical, dental, vision, life and AD&D insurance, long and short term disability, 401k program with company match and profit sharing, wellness program, health savings accounts, flexible savings accounts, ID protection plan and accident, critical illness and hospital benefits. In addition, we offer paid holidays and paid time off.
Salary Description
$71K-$95K annually based on experience level Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at Illinois Bone & Joint Institute by 2x Get notified about new Clinic Manager jobs in
Greater Chicago Area . Chicago, IL $55,000.00-$55,000.00 10 months ago Medical Operations Manager/ Practice Manager
Medical Operations Manager/ Practice Manager
Practice Manager Serious Illness (Palliative Care)
Manager Nursing/Patient Care - Behavioral Health
Chicago, IL $61,800.00-$63,100.00 3 days ago Sr Practice Manager - General Internal Medicine
Chicago, IL $130,000.00-$180,000.00 1 week ago Chicago, IL $80,000.00-$97,000.00 6 hours ago Elgin, IL $89,400.00-$101,920.00 3 weeks ago Gary, IN $74,000.00-$90,000.00 6 hours ago Chicago, IL $85,000.00-$115,000.00 4 weeks ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr