Description

This position is incentive eligible.

Introduction

Do you want to join an organization that invests in you as a Director Managed Care? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Benefits

HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

• Free counseling services and resources for emotional, physical and financial wellbeing

• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

• Employee Stock Purchase Plan with 10% off HCA Healthcare stock

• Family support through fertility and family building benefits with Progyny and adoption assistance.

• Referral services for child, elder and pet care, home and auto repair, event planning and more

• Consumer discounts through Abenity and Consumer Discounts

• Retirement readiness, rollover assistance services and preferred banking partnerships

• Education assistance (tuition, student loan, certification support, dependent scholarships)

• Colleague recognition program

• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Director Managed Care like you to be a part of our team.

Job Summary and Qualifications

As Director of Managed Care, you will administer and coordinate on behalf of HCA Physician Services in their respective Division or Market, all managed care contract negotiation, analysis and compliance activities in support of the managed care strategies, business and financial plans.

Your responsibilities will include:

• Provide managed care support and expertise by attending scheduled meetings with operations leadership, including Division/Market/Practice operations management

• Develop and implement, in conjunction with the Service Center an annual operating plan and managed care strategic plan

• Coordinate and administer managed care contract negotiation process for designated Division/Market/Practice Management

• Oversee individual practice managed care contracting efforts

• Analyze and estimate financial impact of managed care contracts as requested by operations management for Division/Market/Practice

• Coordinate significant managed care analysis and activities with PHO/IPA operators and managed care operations management as appropriate

• Oversee respective service center managed care compliance efforts

• Maintain permanent record of all major payor contracts for respective service center market

• Administer protocols to ensure smooth and timely implementation of contract terms

• Prepare monthly reports to summarize managed care negotiation activities in the Division /Market/Practice.

• Analyze performance and provide evaluation on all existing contracts to operations management annually and/or as requested

• Design and direct Market projects as requested by leadership

• Administer company’s guidelines for managed care contracting and compliance

• Maintain knowledge of state and federal legislative and regulatory laws and rules regarding managed care

• Market Managed Care Product line

What qualifications you will need:

• Bachelors Degree is preferred

• Experience in managed care, preferably with prior experience in contract analysis and negotiations. Business office experience preferred.

• 7+ years of experience is preferred

• Financial analysis and negotiation skills

• Moderate to Advanced Excel Skills

• Knowledge of Managed Care environment

• Familiarity with Physician/Payer contract language

• Communication skills

• Organization skills Business office operations

HCA Healthcare (Corporate) , based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and career advancement opportunities , every person has a solid foundation for success. Nashville is also home to our Executive Development Program , where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Director Managed Care opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.