MANAGED CARE MANAGER-PAYER RELATIONS AND CONTRACTING

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  Owings Mills, MD
  











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  SINAI CORPORATE
  













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  MANAGED CARE
  













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  Full-time - Day shift - 8:00am-5:00pm
  













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  Management & Supervisory
  













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  84401
  






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  $44.71-$71.54 Experience based
  




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  Posted:
  October 23, 2024
  

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Summary

JOB SUMMARY:

• Provides experienced Managed Care Payer contracting negotiation skills and subsequent implementation and ongoing operational support for LifeBridge Health entities.


• Provides project support and acts as an internal liaison and resource for LBH staff and physicians, in addition to acting as an external liaison with payer representatives for resolution of operational and contractual issues.

JOB REQUIREMENTS:

• Seasoned professional knowledge; equivalent to a Master's degree; knowledge in more than one discipline


• 5-7 years of experience in payer negotiation to include financial analysis and contract language


• Advanced Excel skills


• Ability to lead and negotiate all provider types, such as Ambulatory Surgery, Hospice, Home Health, Physicians, Skilled Nursing, Urgent Care and other ancillary services as needed.


• Strategic planning experience


• Ability to build collaborative relationships internally and externally


• Market/Insurance landscape-must understand the insurance players and products-Commercial (HMO/ASO/EPO/PPO), Medicaid and Medicare Advantage


• Ability to multi task

KEY WORDS

Contract negotiations

Analytics

Managed care

Additional Information

As one of the largest health care providers in Maryland, with 13,000 team members, We strive to CARE BRAVELY for over 1 million patients annually. LifeBridge Health includes Sinai Hospital of Baltimore, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital and Grace Medical Center, as well as our Community Physician Enterprise, Center for Hope, Practice Dynamics, and business partners: LifeBridge Health & Fitness, ExpressCare and HomeCare of Maryland.






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Location: Owings Mills, MD, US

Posted Date: 11/26/2024