Managed Care Regional Manager

Location: DENVER, CO
Date Posted: 05-14-2018
Qualifications 
  • 5+ years experience with health insurance, patient accounting and/or managed care including payor or provider contracting background.
  • Experience negotiating managed care contracts with third party payors regarding physician professional service compensation issues.
  • Experience with fee schedule, case rate, per diem, and capitation reimbursement.
  • Familiar with patient accounting tasks including billing, collections, and reimbursement analysis.
  • Excellent written and verbal skills.
  • Negotiation skills.
  • Computer proficiency (Excel and various software programs, data report writers)
  • Strong analytical and quantitative skills for the development of reimbursement proposals. 
  • Bachelor's or Master's Degree in Business, Finance or a related field.   
 

Responsibilities 
The primary responsibility of the Regional Manager, Managed Care position is to evaluate, negotiate, and secure agreement to new and existing contracts with third party payors, including commercial health plans and managed medicaid payors. This position can be located at our Southern California Regional Office or in Denver.  Responsibilities include, but are not limited to;
  • Leading and negotiating third party payor negotiations
  • Reviewing and reaching agreement with payors on contract language
  • Acquisition integrations
  • Overseeing resolution of contract payment issues
Very competitive salary and benefits!
Great company to work for!
Full relocation package is available!
Don't miss out! Apply now and we'll be in touch immediately with more specific details, salary information and to answer any questions!!

This position does NOT provide sponsorship so please do NOT apply if you require sponsorship.  Thank You

KP Recruiting Group 
"Bringing Talent to the Marketplace"

KP Recruiting Group is a well established and very respected recruiting firm.  We have built a strong reputation as a premier resource for providing highly qualified candidates for our clients.  We are very experienced in many industries and have a wide range of clients.  We will serve as your advocate during your career search!  Let us do the work for you!  There is never a fee for our services!



 
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