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Supv, Managed Care
- Cardinal Health (Carson City, NV)
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_What Managed Care contributes to Cardinal Health_
Practice Operations Management oversees the business and administrative operations of a medical practice.
Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal reimbursement including managed care contracting, enrollment, credentialing, and any other activity as it relates to payer interaction.
Manager of Payor Contracting is responsible for reviewing, auditing and negotiating existing and new Payor contracts with Health Insurance companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care, the Manager of Contracting is responsible for managing legal review, policy compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy and aligns negotiation with strategy.
Essential Functions:
+ In collaboration with the Director of Managed Care, negotiate and manage assigned contracts, including initiate, plan, finalize, implement, report (written and verbal) and direct related negotiations.
+ Propose contracting and pricing models and strategies using knowledge of market, local and national benchmarks, and payer market. Key member of negotiating team for company.
+ Negotiates contract language across all contracts, striving for uniformity among different contracts, partnering with the General Counsel as needed and as appropriate.
+ Coordinates finance, legal and operational reviews of contracts. Coordinates sign off on all proposed terms of contracts and amendments, adhering to Company contract sign off and approval processes.
+ Adheres to all Company processes for tracking rates and terms of all contracts.
+ Is a valuable member of the team based on core business subject matter expertise, general industry knowledge and skills and interest in being a member of a team. Consults with other members of the Leadership Team on contract terms and updates to contracts that may apply to operational areas.
+ Has the authority to direct and support managers with functional area responsibilities.
+ Coordinates and supervises the daily activities of operations or business staff
+ Administers and exercises policies and procedures
+ Ensures employees operate within guidelines
+ Decisions have a direct impact to work unit operations and customers
+ Frequently interacts with subordinates, customers, and peer groups at various management levels
+ Interactions normally involve information exchange and basic problem resolution
_Qualifications_
+ 4-8 years of experience, preferred
+ Bachelor's degree in related field, or equivalent work experience, preferred
+ Master's degree preferred.
+ 5-8 years related work experience preferred in revenue cycle including payor contracts and 1-3 years supervisory/management experience preferred
+ Negotiation and Presentation Skills.
+ Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases.
**Anticipated salary range: $79,700-** $119, 490- USD Annual
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with myFlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close: 07/05/2025** *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal-health-online-application-privacy-policy.pdf)
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