<p>Department</p> <p>VH REVENUE CYCLE MANAGEMENT - 108221</p> <p>Worker Sub Type</p> <p>Regular</p> <p>Work Shift</p> <p>Pay Grade</p> <p>313</p> <p>Job Description</p> <p>The Manager, Managed Care and Payer Contracting supports the Director in the day-to-day management, including negotiation and development of payer agreements, monitoring of payer performance and adherence to contract terms, creating and/or managing analytical tools, including contract management software, that promote an environment of effective decision-making, maintaining tools to ensure accurate modeling and payment compliance, as well as support of Patient Financial Services operations in its revenue collection mission, support of corporate customers and patients, and support of business analytics and clinical programs. The Manager, Managed Care and Payer Contracting will work closely with and support providers, executives, entity and departmental leadership, corporate teams (provider credentialing, decision support, reimbursement/tax, budgeting, and service line leaders) and other healthcare system teams to support growth opportunities and develop financial/clinical products and services to meet the specific needs of network customers, as well as in the effective and timely delivery of quality financial/information products and services to VHS customers. Must maintain a positive attitude, goal-oriented attitude, promote the messaging of the organization, and maintain a professional and courteous demeanor with all interactions with all providers, coworkers, customers, superiors, and the general public. Critical thinking skills, ability to master new concepts and software applications, high energy, and an innovative spirit are essential traits for the successful candidate.</p> <p>Education</p> <p>Bachelor's degree required</p> <p>Experience</p> <p>Working knowledge of both Managed Care and Provider Insurance Credentialing required</p> <p>Working knowledge of government and non-government insurance, payer requirements, and healthcare operations required</p> <p>Working knowledge of healthcare revenue cycle, healthcare finance, CMS and state regulations and healthcare compliance requirements/activities required</p> <p>Experience in Epic preferred</p> <p>Three or more years in healthcare managed care contracting experience required</p> <p>Qualifications</p> <p>Ability to maintain positive working relationships with supporting customers, staff, peers, and leadership</p> <p>Ability to support multiple customers simultaneously</p> <p>Working knowledge of general accounting and healthcare finance required</p> <p>Working knowledge of healthcare revenue cycle processes, including claims payment processes</p> <p>Working knowledge of healthcare managed care and contracting</p> <p>Working knowledge of technology alternatives applicable to healthcare contract management</p> <p>Working knowledge of Microsoft Office products, including Outlook, Word, Excel, and Access</p> <p>Excellent verbal and written communication skills</p> <p>FLSA Classification</p> <p>Exempt</p> <p>Grade</p> <p>313</p> <p>Physical Demands</p> <p>1 A Abstractor/Analyst</p> <p>Benefits</p> <p>At Valley Health, we believe everyone is a caregiver, and our goal is to create an environment where our caregivers thrive physically, financially, and emotionally. In addition to a competitive salary, our most popular benefits for full-time employees include:</p> <ul> <li>A Zero-Deductible Health Plan </li><li>Dental and vision insurance </li><li>Generous Paid Time Off </li><li>Tuition Assistance </li><li>Retirement Savings Match </li><li>A Robust Employee Assistance Program to help with many aspects of emotional wellbeing </li><li>Membership to Healthy U: An Incentive-Based Wellness Program </li></ul> <p>Valley Health also offers a health savings account & flexible spending account for childcare, life insurance, short-term and long-term disability, and professional development. In addition, several perks come with working for the largest employer in the region, such as discounts to on-campus dining, and more.</p> <p>To see the full scale of what we offer, visit valleyhealthbenefits.com.</p>