Upvote
Downvote
Managed Care Manager
Share Job
- Suggest Revision
Full-time
- Under the direction of the Operations Director and Executive Director, this position is responsible for the negotiation, optimization and the operational management of the managed care contracts; Medi-Cal, Medicare, Commercial, PPO, FFS and etc.
- Directs negotiation of managed care contracts including optimal capitation rates, fee-for-service reimbursements, bonus, incentives and etc.
- Ensures capture of incentives based on services provided: 120-day health assessments, timely encounter data submission, HEDIS, CHDP services and etc.
- based on fee-for-service model and health care outcomes.
- Assists Operations Director in developing the IPA Network with other community clinics.
Active Job
Updated 29 days agoSimilar Job
Relevance
Active