Director Managed Care - Managed Care Admin

Job Description

Director Managed Care
Req #: 21127
Department: Managed Care Admin
Facility Name: Maricopa Medical Center
City: Phoenix
Schedule: Regular - Full Time 40 Hours Per Week
Shift: Days
Salary: E15 $108,966 - $163,449
Hours:
Job Details:
  • Under the direction of the VP Managed Care, the Director Managed Care is responsible for negotiating contracts for the Health System and performing revenue and cost analyses to ensure an adequate return on the contracts. In addition, this position is responsible for assisting in the development and implementation of a strategic payer contracting plan for MIHS, establishing and managing the contract audit and compliance function and administrative requirements of maintaining MIHS policies and procedures as it relates to the managed care function, and other projects as assigned.

    QUALIFICATIONS:

    Requires a Bachelor's degree in Business or related field; or an equivalent combination of training and progressively responsible experience that will result in the required specialized knowledge and abilities to perform the assigned work. A Master's degree in Business, Health Sciences Administration or Public Health is preferred. Must have a minimum of seven (7) years of progressively responsible provider contracting, network development and provider relations experience in developing, negotiating and evaluating contracts and an operational background in either a payer or healthcare organization including business analysis and business development that demonstrates a high level of understanding of the required knowledge, skills and abilities. Experience must include demonstrated leadership ability, preferably working in a related management position in a healthcare setting. Must be a successful leader of people, have strong leadership skills and the ability to motivate a team. Must be able to decide how to allocate people, time and other resource to create, execute, and accomplish an operating or project plan on time and within budget. Must have solid analytical and problem-solving skills along with the ability to utilize the appropriate management techniques to plan, organize, control and coordinate activities. Must be able to manage priorities in a dynamic environment and adapt to change quickly and positively. Must demonstrate ability to be self-directed, as well as demonstrate excellent organizational, analytical and interpersonal skills. Must be able to work as a team member with peers, other managers, staff and senior leadership. Must possess good customer service and communications skills, the ability to work with professionals and maintain confidentiality standards. Requires the ability to read, write and speak effectively in English.



Living our values
At Maricopa Integrated Health System, our values inspire us to dream big and reach high. And we’re delivering some of the most sophisticated care in the country, while making a genuine difference in the lives of our patients and each other. That's the power of an environment driven by values like respect, leadership, compassion and education.

We are:
  • Maricopa Medical Center, a critical care hospital - the largest teaching hospital in AZ
  • The Arizona Burn Center, a nationally renowned regional burn center- 2nd largest in the nation
  • A level 1 Trauma Center and emergency department
  • The Arizona Children’s Center at MIHS, a 24/7 Level 1 Pediatric Trauma Unit
  • The Comprehensive Healthcare Center
  • The Desert Vista Behavioral Health Center
  • 12 Family Health Centers located throughout Maricopa County
Come live these values and enjoy:
  • Competitive wages
  • Medical, dental and vision coverage
  • Arizona State Retirement System Plan with a lifelong pension upon retirement
  • Generous PTO + 10 holidays per year
MIHS is an equal opportunity employer.