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Job Title: Assistant Director of Managed Care Contracting
Job Category: Management  [ View All Management Jobs ]
Job Reference: 11847DIV12
Job description:
Responsibilities
Take on a high-visibility role in a world-class health organization. Contribute to the delivery of exceptional, cost-efficient healthcare. Take your professional expertise to the next level. UCan do all this and more at UCLA Health.



In this key position, you will work with our Chief Contracting Officer and Faculty Practice Group (FPG) leadership to develop a payor contracting strategy that is aligned with our system-wide contracting approach and FPG strategic plan. You will also be responsible for managing the contracting efforts for our Ambulatory Surgery Centers and reimbursement terms for community-based sites and services. As a key participant in our system-wide contracting teams, you will negotiate contract language and rates by product line, case types and clinical service areas. You will also:



· Manage and develop staff members who negotiate contracts with third-party payers and key referring medical groups

· Review, analyze and compile professional data for clinical procedures and treatments, including case frequency, rates and referral points

· Collaborate with FPG Finance to evaluate the profitability and appropriateness of various payment methodologies

· Review contract language with input from FPG leadership, Legal, Compliance, Risk Management and departments

· Recommend adjustments to optimize contracting strategy

· Identify, establish and maintain contract relationships with medical groups, independent practice associations, and others for patient referrals

· Works with outreach coordinators to communicate updates regarding Referring Medical Groups and contract status and operational concerns

· Represents the department at Payor meetings

Qualifications
We’re seeking a self-motivated, detail-oriented, creative problem solver with:



· A minimum of five or more years of experience in managed care contracting, specifically with a medical group or health plan

· Exceptional negotiation abilities

· Outstanding communication, interpersonal, presentation, multitasking, prioritizing and time management skills

· Strong analytical aptitude and expertise

· Ability to read, understand and interpret contracts in detail

· Ability to evaluate logical aspects of a proposal and develop a plan of action

· Proven skill in maintaining detailed, accurate and organized files/records

· Knowledge of hospital operating procedures

· Proficiency with Microsoft Office

· Ability to function at a high level of efficiency and effectiveness with frequent interruptions.



UCLA Health is an internationally-renowned health system with four award-winning hospitals and dozens of primary care practices, specialty practices, urgent care centers and other ancillary locations throughout metro Los Angeles. We are also home to the world-class clinical, academic and research capabilities of the David Geffen School of Medicine. Through the efforts of our outstanding people, we have become Los Angeles’ trusted provider of exceptional, compassionate patient care. If you’re looking to experience greater challenge and fulfillment in your career, UCan at UCLA Health.



UCLA is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.
Skills:
Language requirements:
Employment type:
  • Full Time
Salary Range: Unspecified
 
Other Information
 
Degree: Bachelors
Experience (year): Unspecified
Job Location: Los Angeles - California - USA   View a map of this job
Zip/Postal Code: 90001
Post Date: 01/26/2021
 
Contact/Apply Instructions: To apply, please use this link: https://ucla.contacthr.com/79682679
 
 
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