Managed Care Contracts Director (Raleigh)

Managed Care Contracts Director (Raleigh)

22 Oct
|
UNC Health
|
Raleigh

22 Oct

UNC Health

Raleigh

DescriptionBecome part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.DescriptionBecome part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.SummaryThe HCS Director of Managed Care Contracting serves as one of the Health Care System’s top managed care executives responsible for strategy development, financial analysis, and contract negotiation of local, regional, and national strategic payer relationships. The position is one of the key members of UNC Health's managed care executive team, reporting to the System Vice President of Managed Care. All payer relationships that require contracting across our system are in the scope of responsibility for the position. Key areas of focus include assessment, negotiation, implementation, and management of:



commercial fee-for-service and value-based managed care payer contracts; Medicare Advantage and Managed Medicaid managed care fee-for-service and value-based payer contracts; narrow network public and private exchange payer contracts; military (Tricare, VA) contracts; direct to employer contracts, specialty (such as transplant) and carve-out payer (such as behavioral health and vision) contracts, single case agreements, center of excellence designation programs, and other partnership opportunities with payers as required. The position is also a thought leader and organizational expert/consultant in support of system growth initiatives whether clinically, operationally, or otherwise with a primary role of informing how organizational initiatives will be received by payers and leading efforts to develop plants to execute such projects.The HCS Director of Managed Care Contracting will optimize the organization's contract performance with its contracted payers to maximize the organization’s financial viability while also advancing the system’s population health and value-based

📌 Managed Care Contracts Director (Raleigh)
🏢 UNC Health
📍 Raleigh

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