Manager of Payer Strategies

$108,555 - $157,414/Yr

Universal Health Services - Temecula, CA

Full-time - Manager

Remote - Temecula, CA

5,001-10,000 employees

Hospitals

About the position

The Manager of Payer Strategies at Southwest Healthcare is responsible for assisting the Regional Managed Care Director with payer contracting and relations. This fully remote position focuses on overseeing managed care contracted business performance, maintaining contract inventories, managing confidential insurance rate information, and supporting various managed care projects and committees. The role requires strong communication and negotiation skills, as well as a comprehensive understanding of healthcare finance and managed care practices.

Responsibilities

• Assist in overseeing and maximizing the performance of UHS managed care contracted business.
• Maintain inventory of managed care contracts and renewal timelines.
• Manage confidential hospital insurance rate information and work on special projects as needed.
• Assist Regional Director of Managed Care with delivery system Managed Care projects and steering committees.
• Participate in regional revenue cycle and denials management committees.

Requirements

• Bachelor's degree from an accredited College or University in a related field required.
• 3 to 5 years of experience in healthcare contracting and negotiations in an ASC setting required.
• 5 to 8 years of experience preferred.
• Demonstrated knowledge of The Joint Commission and Title 22 standards and guidelines.
• Strong written and verbal communication skills, with excellent Microsoft Office skills.
• Comprehensive working knowledge of managed care contracting and practices.

Nice-to-haves

• Knowledge of PC and applications.
• Ability to relate to clinical personnel and medical staff.
• Demonstrated managed care contract negotiation skills.

Benefits

• Challenging and rewarding work environment.
• Competitive Compensation & Generous Paid Time Off.
• Excellent Medical, Dental, Vision and Prescription Drug Plans.
• 401(K) with company match and discounted stock plan.
• SoFi Student Loan Refinancing Program.
• Tuition, CEU, Certification, Licenses Reimbursement program.
• Career development opportunities within UHS and its 300+ Subsidiaries!