Vice President, Managed Care & Clinical Contracting Strategies
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MINIMUM QUALIFICATONS:
- Master’s degree in Business or Health Care Administration.
- Minimum of ten years’ experience with contract negotiation for hospital and physician services.
- Minimum of ten years of healthcare financial/managed care supervisory experience, including 5 years in a senior management position.
KNOWLEDGE/SKILLS/ABILITIES:
- Experience in implementation of new projects and team development
- Experience working within an EMR
- Experience in leading virtual teams
- Experience in Change Management
- Thorough knowledge of commercial managed care, Medicaid, and Medicare contract payment terms, healthcare finance concepts and principles.
- Understanding of future reimbursement trends and directly related experience in risk contracting for hospital and physician services.
- Excellent analytical and problem-solving skills; exceptional verbal and written communication including negotiation and presentation skills.
- In depth knowledge of hospital and professional coding and reimbursement methodologies. (i.e. DRG, APC, APG, CPT, RVU, conversion factors).
- Knowledge of federal, state, and local regulations, guidelines, and standards in area of expertise.
- Ability to lead effective teams and to build and maintain strong business relationships with internal and external clients.
- Decisive, effective leadership skills
- Ability to provide responsive customer service and follow through.
EQUAL EMPLOYMENT OPPORTUNITY:
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities.
