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Manager - Managed Care Contracting

Company: Regional Recreation Corporation of Wood Buffalo
Location: Flagstaff
Posted on: April 3, 2021

Job Description:

Manager - Managed Care Contracting in Flagstaff, Arizona - Careers at Flagstaff Skip Branding Skip to main content

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        • Northern Arizona Healthcare Facebook Manager - Managed Care Contracting in Flagstaff, Arizona - Careers at Flagstaff Skip to Main Content Please Enable Cookies to Continue Please enable cookies in your browser to experience all the personalized features of this site, including the ability to apply for a job. Welcome page Welcome page Returning Candidate? Log back in! Manager - Managed Care Contracting Job Locations US-AZ-Flagstaff - US-AZ-Cottonwood Requisition ID 2020-8265 Education Bachelor's Degree Call Required No Recruiter: NOELLE VAN WAGENEN Recruiter Email: noelle.vanwagenen@nahealth.com Schedule Days Overview Remote option available.--The Manager of Managed Care Contracting, under direction of the Vice President of Managed Care, is responsible for all Commercial, Governmental, AHCCCS and Medicare contracts for the NAH Hospitals, physicians and ancillary facilities. S/he ensures consistent management of all hospital/facility contracts, credentialing and certifications, as well as performing contract reviews, negotiations, implementations and maintenance. Responsibilities Management
          * Manages personnel, work reports, inventories, by ensuring that data records and forms are completed, analyzed, and evaluated according to departmental policy.* Hires, provides performance assessments and feedback, and develops staff.* Conducts timely performance reviews and provides on-going feedback.* Establishes and monitors individual and team goals and objectives.
          --
          Contract Management
          * Reviews and interprets agreements.* Recommends changes to the language, requirements and reimbursement structure.* Demonstrates the ability to discern contract prioritization based on contract type and deadlines.* Compiles and prepares all documentation required for contract and/or credentialing processing and verify completion of agreements and credentialing.* Develops, maintains and updates all contract files.* Ensures all contracts are entered into organizational databases (i.e., Meditract & nThrive).* Serves as a liaison for the contracting department by attending interdepartmental meetings.* Demonstrates the ability to make decisions on behalf of contracting.* Responsible for all NAH, Physician and ancillary facilities Commercial, Governmental, AHCCCS, Medicare contracts and credentialing processes to ensure timely enrollment for all payer contracts.
          Operations
          * Responsible for the completion, updates and maintenance for all NAH and facilities Medicare Certification applications and supporting documentation for the PECOS/Noridian (855As and 855Bs).--
          Compliance/Safety
          * Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.* Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility.* If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.* Completes all company mandatory modules and required job-specific training in the specified time frame. Qualifications Education--Bachelor's Degree - RequiredExperience--5 years of experience in managed care - RequiredExperience in healthcare and non-profits- Preferred Options Apply for this job online Apply Share Email this job to a friend Refer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Loading... Application FAQs Software Powered by iCIMS
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Keywords: Regional Recreation Corporation of Wood Buffalo, Flagstaff , Manager - Managed Care Contracting, Executive , Flagstaff, Arizona

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