Director, Managed Care Relationships

Kindred Healthcare - Houston, TX

Posted 852 days ago
  • Experience
    Mid-Senior level
  • Job function
    Business Development
  • Employment type
    Full-time
  • Industry
    Hospital & Health Care
  • Job ID
    2644624

This is a preview of the Director, Managed Care Relationships job at Kindred Healthcare. To view the full job listing, join LinkedIn - its free!Join LinkedIn - its free!

About this job

Job description

We are recruiting a Director, Managed Care Relationships to join our Managed Care Department. 

 

PLEASE NOTE:  This position supports our Houston market and requires residency in the area.  

 

Summary:

Executes on local Market Managed Care Strategy by serving as a critical liaision between the market's managed care payers and Kindred operators.  Collaborates with market colleagues to identify new business opportunities and systematic clinical or operational issues with managed care contracts.  Builds and manages relationships with managed care payers, with a focus on education around Kindred's value proposition (as defined by the market's local asset portfolio and competitive landscape) and resolution of clinical or operational issues.  Drives increased managed care penetration across the continuum of care, as defined by the local market.  

 

Essential Tasks:

  • Develops the local Market Managed Care Strategy, in collaboration with other market colleagues
  • Owns and manages all aspects of assigned managed care payer relationships in support of the Market Managed Care Strategy, including (i) identifying demand and scheduling meetings with the relevant payer contacts, (ii) creating tailored presentations / materials, (iii) seeking preparation and attendance support from appropriate colleagues based on the agenda, and (iv) leading the meeting 
  • Sponsors (ideally) quarterly JOC meetings with assigned managed care payers to identify and discuss strategies to resolve key clinical and operational issues, including (i) coordinating with the payer to prepare the agenda, (ii) inviting the appropriate Kindred stakeholders, (iii) preparing the necessary materials in support of the agenda, and (iv) facilitating the meeting
  • Maintains relationships and resolves clinical and operational issues with assigned provider organizations under a contractual or risk-bearing agreement by acting as liaison with Managed Care Provider Relations staff.
  • Sponsors and/or attends quarterly cross-divisional, cross-functional Managed Care Meetings (a forum for communication between the market's key internal constituents), including assisting with compilation of required data and analysis
  • Trains core group of market operators on relevant elements of new or renegotiated contracts, including preparation of training materials
  • Updates SharePoint with payer-specific activity for assigned accounts
  • Documents critical reporting capabilities for Kindred based on payers' evolving data needs, as identified in JOC and other meetings
  • Manages local and attends national conferences, as relevant
  • Present Continuing Education Programs (CEU's) to MCO's relevant staff
  • Attends relevant division district staff meetings
  • Document goals, activities and accomplishments.  Communicates and prepares reports on activity, industry trends, new business opportunities, statistical information/market share and other as required by the facility's leadership team and Sr Dir Mgd Care.
  • Maintains close involvement and active membership with State Self-Insured Employer Associations, Hospital Associations, Case Management Society of America Local/State chapters and others.

 

Knowledge/Skills/Abilities:

  • Self-motivated and results oriented
  • Strong organizational and interpersonal skills, including the ability to work collaboratively with various colleagues to achieve defined market-specific goals
  • Ability to apply knowledge of clinical terminology and payor reimbursement methodologies, including managed care payer requirements
  • Understanding of contract language
  • Ability to effectively communicate in English in verbal, written, and presentation form
  • Computer literacy
  • Ability to work under stress and deadlines
  • Ability to travel occassionally, estimated travel at 25% (all local)

Desired Skills and Experience

  • Bachelor s degree in business or related field. Nursing or Master s preferred.
  • C.C.M./Certified Case Manager through The Commission for Case Manager Certification, preferred.
  • 5+ years healthcare experience. 3+ years in healthcare managed care business development required. Knowledge of the post-acute industry preferred.

About this company

Kindred Healthcare

Kindred Healthcare, Inc., a top-150 private employer in the United States, is a healthcare services company based in Louisville, Kentucky with annual revenues of $6 billion and approximately 76,300 employees in 46 states. At June 30, 2011, Kindred through its subsidiaries provided healthcare services in over 2,200 locations, including 120 long-term acute care hospitals, five inpatient rehabilitation hospitals, 224 nursing and rehabilitation centers, 22 sub-acute units, 20 hospice and home care locations, 104 inpatient rehabilitation units (hospital-based) and a contract rehabilitation services business, RehabCare, which served approximately 1,760 non-affiliated facilities. Ranked as one of Fortune magazine’s Most Admired Healthcare Companies for three years in a row, Kindred’s mission is to promote healing, provide hope, preserve dignity and produce value for each patient, resident, family member, customer, employee and shareholder we serve. For more information, go to http://kindredhealthcare.com.

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