Managed Care Manager, Contracting
Company: SSM Health
Location: Saint Louis
Posted on: May 27, 2023
|
|
Job Description:
It's more than a career, it's a calling.
MO-SSM Health System Office 1015 Corp Sq
Worker Type:
Regular
Job Summary:
Manages proposed managed care agreements and fee schedules.
Job Responsibilities and Requirements:
Job Description
PRIMARY RESPONSIBILITIES
Analyzes all proposed managed care contracts and associated
documents.
Analyzes proposed fee schedules and negotiates financial terms of
managed care contracts.
Assists with the education of providers on all changes to any
managed care contracts to ensure provider compliance and maximum
reimbursement. Assists with the education of staff to be successful
in a managed care environment.
Analyzes existing contract terms to determine if re-negotiation is
warranted.
Collaborates with management to discuss managed care contracts and
resolve issues pertaining to managed care.
Performs other duties as assigned.
EDUCATION
EXPERIENCE
PHYSICAL REQUIREMENTS
Frequent lifting/carrying and pushing/pulling objects weighing 0-25
lbs.
Frequent sitting, standing, walking, reaching and repetitive
foot/leg and hand/arm movements.
Frequent use of vision and depth perception for distances near (20
inches or less) and far (20 feet or more) and to identify and
distinguish colors.
Frequent use of hearing and speech to share information through
oral communication. Ability to hear alarms, malfunctioning
machinery, etc.
Frequent keyboard use/data entry.
Occasional bending, stooping, kneeling, squatting, twisting and
gripping.
Occasional lifting/carrying and pushing/pulling objects weighing
25-50 lbs.
Rare climbing.---
Work Shift:
Day Shift (United States of America)
Job Type:
Employee
Department:
8762000033 Managed Care Contrac
Scheduled Weekly Hours:
40
SSM Health is an equal opportunity employer. SSM Health does not
discriminate on the basis of race, color, religion, national
origin, age, disability, sex, sexual orientation, gender identity,
pregnancy, veteran status , or any other characteristic protected
by applicable law. Click here to learn more.
(https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?_ga=2.205881493.704955970.1667719643-240470506.1667719643)
Keywords: SSM Health, St. Louis , Managed Care Manager, Contracting, Executive , Saint Louis, Missouri
Click
here to apply!
|