Regional Director - Managed Care
UHS of Delaware Inc - Corporate Office - Las Vegas, NV

This job posting is no longer available on UHS of Delaware Inc - Corporate Office. Find similar jobs:Regional Director jobs - UHS of Delaware jobs

Job Description:
Universal Health Services, Inc. (UHS) is one of the
nation's largest and most respected healthcare
management companies, operating through its
subsidiaries’ acute care hospitals, behavioral health
facilities and ambulatory centers nationwide. Founded in
1978, UHS subsidiaries now have more than 65,000
employees. The UHS business strategy is to build or
purchase healthcare properties in rapidly growing
markets and create a strong franchise based on
exceptional service and effective cost control. Our
success comes from a responsive management style and a
service philosophy based on integrity, competence and
compassion. UHS is currently recruiting for a Regional
Director, Managed Care, based in Las Vegas, NV.

Role and Responsibility:
  • Maximizes the performance of UHS’ managed care
contracted business in accordance with sound health
care and fiscal management practices.
  • Establishes contracting parameters, “rules of
engagement” and contracting tools to ensure creation
of managed care contracts that meet UHS corporate
financial goals and maximize the potential for
revenue collection per company systems.
  • Reviews contracting arrangement (according to
pre-established parameters) for UHS facility CEO or
Regional VP review.
  • Manages payer negotiations as appropriatein concert
with institutional and corporate senior leadership.
  • Represents UHS to payers on a national basis to
encourage open communication and maintains
relationships beneficial to UHS.
  • Ensures managed care/revenue cycle coordination
among all functional areas required to maximize contract
performance (e.g. business office, managed care, UM
and CFO staff).
  • Facilitates meetings of corporate and field staff to
establish parameters that ensure contract
performance objectives and establishment of managed
care/revenue cycle committees at all facilities with
significant managed care business volume.

Requirements for Consideration:
  • Bachelor’s degree required in Business, Healthcare
Management or other closely related field; Master's
degree preferred.
  • Demonstrated managed care contract negotiations
skills.
  • Comprehensive working knowledge of managed care
contracting and practices essential to maximize
revenue and margins generated for healthcare
services paid through various algorithms such as
MS-DRGs/case rates, APCs, stoploss, and risk-bearing
formats.
  • Must have managed or worked with systems/staff for
the use of institutional financial modeling and the
various metrics by which healthcare is gauged.
  • Extensive knowledge of health finance and systems
employed by physicians, employers and institutional
entities, as well as public and private database
systems available which provide information on
quality of care, physician referral, MCO ratings,
etc.
  • Demonstrated excellent interpersonal and written and
verbal communication skills when working with all
levels of external and internal customers.
  • Minimum of 8 years of managed care
negotiations/contracting experience.
  • Negotiations on behalf of highly complex
institutions, preferably multi-hospital systems, is
essential. Knowledge and experience negotiating
with, and/or, on behalf of stand-alone (e.g.,
ambulatory/imaging/surgical) entities and physician
organizations is a strong plus.
If you meet the above requirements and are looking for a
rewarding career, please take a moment to share your
background with us by applying online. UHS offers
competitive compensation packages commensurate with
experience and a strong benefits program including
medical, dental, and life insurances and our 401(k)
retirement plan.
UHS is not accepting unsolicited assistance from search
firms for this employment opportunity. Please, no phone
calls or e-mails. All resumes submitted by search firms
to any employee at UHS via e-mail, the Internet or in
any other form and/or method without a valid written
search agreement in place for the above-listed position
will be deemed the sole property of UHS. No fee will be
paid in the event the candidate is hired by UHS as a
result of the referral or through other means.

About this company
8 reviews