[Hiring] Managed Care Contracting Manager @Pennant Services, Inc.

Remote Full-time
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Managed Care Resource will support our Home Health, Hospice, Private Duty and Senior Living Facility leaders in managed care contracting and revenue enhancement strategies for all healthcare payers as well as assist in the preparation for changes in the healthcare industry. • Negotiate managed care payer contract rates and terms • Provide guidance on the development of managed care relationships • Ensure timeliness and appropriateness of negotiated rates • Negotiate contracts for new locations • Assist with ensuring that contracts are updated for new services • Manage contract terminations • Conduct managed care education sessions • Develop and implement a strategic vision to assist in accelerating operational results Qualifications • Bachelor’s degree in business administration, management or health care administration preferred • 5+ years’ experience in managed care contracting with a managed care payer or provider organization • Analytically oriented with the ability to communicate complex financial matters in a concise, professional manner • Knowledgeable about the managed care environment, including Medicare Advantage, Commercial and Managed Medicaid products • Knowledge of Accountable Care Organizations (ACO’s) and value-based purchasing strategies • Knowledge of managed care payer contract language and terms • Strong analytical and problem-solving skills with keen attention to detail • Excellent verbal and written communication skills • Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) • Knowledge of Home Health, Hospice, Private Duty and Assisted Living Facility operations is a plus • Knowledge of CPT-4, HCPCS, Revenue and ICD coding • Strong computer skills (MS Word, MS Outlook & Excel) with Smartsheet knowledge a plus • Ability to travel Requirements • Work collaboratively as part of the Managed Care Team • Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously • Ability to be flexible, adaptable, and work in a rapidly changing environment Benefits • Compensation: $95,000 - $105,000 Company Description Pennant Services is one of the most dynamic and progressive companies in the rapidly expanding senior living, home health, hospice, and home care industries. • Affiliates operate over 150 senior living, home health, hospice, and home care operations across 14 states • Operations have no corporate headquarters or traditional management hierarchy • Support from the “Service Center,” a world-class service team • Core values defined by “CAPLICO”: Customer Second, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Celebrate Ownership Apply tot his job Apply tot his job
Apply Now →

Similar Jobs

Payroll Accounting Manager - Remote

Remote Full-time

ES Scoring Assistant – Instructional Technology (MA)

Remote Full-time

ES Language Scorer (NY)

Remote Full-time

Payroll Specialist Remote Job Location 3609 Ocean Ranch Blvd Ste 160, Oceanside CA + 1 More Locations Apply Now Customer Experience Lead

Remote Full-time

Implementation Specialist, Payroll- Remote

Remote Full-time

Temporary HRIS and Payroll Specialist - KTS (Remote)

Remote Full-time

Payroll Strategy & Compliance Expert

Remote Full-time

[Remote] ES Health Education Scorer - MA

Remote Full-time

Senior Global Payroll Manager

Remote Full-time

Logistics and Supply Chain Leaders - Nationwide

Remote Full-time

Certified Inpatient Coding Specialist, Per Diem, Flexible Hours, Remote for PA & NJ Candidates in Allentown, PA in St. Luke’s University Health Network (job Id: 1669771910)

Remote Full-time

Experienced Remote Data Entry Specialist – No Prior Experience Required for Flexible Home-Based Career Opportunities with arenaflex

Remote Full-time

Virtual Customer Service Associate

Remote Full-time

Experienced Customer Service Representative – Remote Work Opportunity with arenaflex to Deliver Exceptional Customer Experiences and Technical Support

Remote Full-time

**Experienced Full Stack Data Entry Specialist – Disney Entertainment Industry**

Remote Full-time

Remote Telehealth 40+ State Licensed Physician

Remote Full-time

[Remote] Sales Development Representative

Remote Full-time

Sr iOS Developer

Remote Full-time

**Experienced Full Stack Data Entry Specialist – Entry Level Position at arenaflex**

Remote Full-time

Experienced Customer Service Representative - Work from Anywhere with blithequark - $19+ Hourly

Remote Full-time
← Back to Home