Job Description
Responsibilities
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc.
UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune corporation, annual revenues were $.
4 billion in 2. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately , employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.
S. states, Washington, D.C., Puerto Rico and the United Kingdom.
UHS is currently recruiting for our Regional Director of Managed Care for the acute division in our Texas / Oklahoma region.
Responsibilities include :
Maximizes the performance of UHS managed care contracted business in accordance with sound health care and fiscal management practices.
Establishes contracting parameters, rules of engagement and contracting tools to ensure creation of managed care contracts that meet UHS corporate financial goals and maximizes the potential for revenue collection per company systems.
Participates in payer negotiations as appropriate and requested by facility CEO’s and Regional VP’s.
Represents UHS to payers on a national basis to encourage open communication and maintains relationships beneficial to UHS.
Ensures managed care / revenue cycle coordination among all functional areas required to maximize contact performance (e.
g. business office, managed care, UM and CFO staff). Facilitates meetings of corporate and filed staff to establish parameters that ensure contract performance objectives and establishment of managed care / revenue cycle committees at all facilities with significant managed care business volume.
Strengthens managed care analytical reporting to improve negotiations goal setting and maximizing contract performance.
Qualifications
- Bachelor's Degree
- Comprehensive working knowledge of managed care contracting and practices sufficient to maximize revenue generated from these sources.
- Extensive knowledge of health care finance practices and methods.
- Demonstrated managed care contract negotiation skills.
- Demonstrated inter-personal and written and verbal communication skills required in imparting and developing contract negotiation practices to Acute Care hospital executive management staff.
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Primary Responsibilities: Provide daily utilization oversight and external communication with network physicians and hospitals Daily UM reviews - authorizations and denial reviews Conduct peer to peer conversations for the clinical case reviews, as needed Conduct provider telephonic review and discu...
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Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients acc...
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UHS is currently recruiting for our Regional Director of Managed Care for the acute division in our Texas / Oklahoma region. Facilitates meetings of corporate and filed staff to establish parameters that ensure contract performance objectives and establishment of managed care/revenue cycle committee...
Medical Director - Post-Acute Care Management - Physiatrist preferred - Care Transitions - Remote
Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients acc...
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Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients acc...
Medical Director - Post-Acute Care Management - Care Transitions - Remote
Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients acc...