Director Managed Care & Revenue Integrity - Revenue Cycle Management
Company: Direct Jobs
Location: Madera
Posted on: March 14, 2023
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Job Description:
Director Managed Care & Revenue Integrity - Revenue Cycle
Management SUMMARY: The Director, Managed Care & Revenue Integrity
reports directly to the Vice President, Revenue Cycle & Managed
Care and is responsible for coordinating and executing payer
contracting strategies and functions, as well as revenue integrity
programs. This position is responsible for the negotiation and
management of payer contracts that meet the financial, operational
and strategic goals of Valley Children's Healthcare. The director
is responsible for developing and maintaining productive payer
relationships; negotiating hospital and hospital-based provider
contracts; and ensuring contract performance goals are met. This
position acts as the primary lead for all payer relations at Valley
Children's Healthcare. This position directs all revenue integrity
functions including charge capture audits, charge master
maintenance, performance improvement, as well as analysis and
reporting for executive-level decision support. The position
ensures organizational compliance with all regulatory billing
guidelines. Must have a broad based knowledge of hospital and
medical group operations. Must maintain expert knowledge of the
managed care industry and its application in a hospital setting.
Must have knowledge of hospital and medical group contract
management and financial information systems. REQUIREMENTS: This
position requires a Bachelor's degree with an advanced degree
preferred. Minimum five (5) years related work experience required
with three (3) years managerial experience preferred. POSITION
DETAILS: Full time exempt level position PAY RANGE: $74.30 - $96.65
LOCATION: Madera, CA
Keywords: Direct Jobs, Madera , Director Managed Care & Revenue Integrity - Revenue Cycle Management, Executive , Madera, California
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