Address
Form of work
SalaryCompany Overview:
Shriners Childrens offers a competitive salary and benefit package, including medical, dental, vision, disability, retirement matching, health savings account (HSA), pet insurance, paid time off, continuing education and professional development opportunities.Job Overview:
This position requires occasional travel on an as needed basis. Employees in this role must be based in Tampa but may work remotely on a regular basis. The pay range for this position is $120,660 - $150.825/annually. Compensation is determined based on experience and department equity.Responsibilities:
Qualifications:
Shriners Children’s Hospital is an organization that respects, supports, and values each other. We are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience defines us as leaders in pediatric specialty care for our children and their families.
Shriners Childrens offers a competitive salary and benefit package, including medical, dental, vision, disability, retirement matching, health savings account (HSA), pet insurance, paid time off, continuing education and professional development opportunities.
The Hospital Managed Care Contracter is responsible for completing select negotiations (Hospitals, ASC, Clinic) to secure optimal reimbursement, protecting Shriners Children’s interests in contract negotiations, and the successful implementation/management of third-party pay agreements with payors.
This position requires occasional travel on an as needed basis. Employees in this role must be based in Tampa but may work remotely on a regular basis. The pay range for this position is $120,660 - $150.825/annually. Compensation is determined based on experience and department equity.
- Developes and maintains external third-party pay and other related provider and plan contractual relationships to support the current and future strategic financial goals, mission, vision, and values.
- Responsible for proactively planning and prioritizing third-party pay negotiations to support the system, facilities, and market growth and development.
- Assists in the coordination/implementation of third-party pay agreemenents, which may include routine calls/visits with SCH locations and payor orientations
- Disseminate pertinent contract/plan information to applicable internal stakeholders
This is not an all-inclusive list of the Hospital Managed Care Contracter responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned.
Qualifications:
Minimum:
- 10+ years experience in a healthcare / health system setting
- 7+ years experience with Managed Care, health system contractual terms, and reimbursement methodologies
- 5+ years of payor relations experience in a Managed Care setting
Preferred:
- 7+ years contractual negotations in a Managed Care/health system setting
