Managed Care Contractor
Saint Luke's
Managed Care Contractor
Saint Luke's
Nonprofit integrated health system
Responsible for providing analysis and support during contracting process; supplying reimbursement reports and analyses; ensuring optimization of net revenue under existing managed care contracts; and acting as consultant to BJC HSO's on managed care issues.
This position is responsible for negotiating managed care contracts in coordination with patient accounts medical case management on behalf of SLHS 10 hospitals home health agencies and over 400 employed physicians. In addition this position is responsible for developing and maintaining ongoing relationships with managed care plans conducting monthly operations meetings and working through the implementation and ongoing administration of managed care contracts
Coordinate financial support and analysis for managed care contract negotiations.
Analyzes pricing and financial trends to develop strategic initiatives.
Develops and utilizes innovative reporting tools.
Reviews and acts as a consultant to reimbursement methodologies and rate development.
Applicable Experience:
6-9 yearsBachelor's DegreeNonprofit integrated health system
Saint Luke's operates a nonprofit health system serving Kansas City and surrounding Missouri and Kansas counties, now part of BJC Health. It runs 10 hospitals, physician practices, home care and hospice, imaging centers, behavioral health, and senior living services, plus specialty institutes for heart, neuroscience, cancer, and rehab care. What sets Saint Luke's apart is its Mid America Heart Institute and Marion Bloch Neuroscience Institute, both nationally recognized. The goal is to improve the health and well-being of the communities it serves.
Explore more opportunities at Saint Luke's