Job Opportunity Details

Job ID Specialty Geographic Location City State Recruiter
1895196 Hospital/Clinic - Business Development Springfield IL Acuity Search Solutions, Inc.

Company Name: Acuity Search Solutions, Inc.
Recruiter Name: David Lutz
Contact Phone: 513-206-9881

Job Title: Director, Contracting and Managed Care

In HouseID:
Recruiter Email:

Job Description

This is a Hospital/Clinic - Business Development Opportunity Only!

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(Only QUALIFIED Healthcare Professionals accepted) Hospital/Clinic - Business Development - Director, Contracting and Managed Care

For More information Call David at: 513-206-9881 Email:

This newly created role is intended to deal with the negotiation of insurance companies and Medicaid to set the reimbursement rates the hospital will receive. This position is with a Top health system in the state, and is seeking an experienced candidate

Essential Functions and Job Duties
•Responsible for the development, coordination and analysis of managed care contracts.
•Negotiates reimbursement and language of payer contracts.
•Addresses operational issues and reviews contracts and terms in order to facilitate implementation.
•Responsible for identifying managed care opportunities in the marketplace.
•Establishes productive personal relationships with payor reps.
•Works closely with Payor Contracting team to ensure timely notification of changes to payors and to ensure all contracts are appropriately identified, negotiated, implemented, audited and renegotiated in a timely manner.
•Manages the planning process for contract renewals and negotiations including assessment of historical performance and issues as well as identification of payor specific issues.
•Collaborates with Business Office staff to ensure proper payment|reimbursement and pre-authorization and denial management processes are in place.

Education and|or Other Requirements
•Bachelors Degree in Business or a related field; and
•Minimum three (3) years experience in contracting, finance, or operations in a health care setting.
•Knowledge, through training or experience of Managed (Health) Care or the Managed Care Market is preferred.

For More information Call David at: 513-206-9881



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