Director - Managed Care

Manages the day-to-day Managed Care operations and contracting activities. Negotiates successful contracts with Managed Care organizations. Maintains strong relationships with Managed Care organizations. Analyzes financial component of contracts using Managed Care software system. Networks with payers, providers, brokers, and others throughout the region in order to build and maintain market knowledge and market direction. Works collaboratively with the Revenue Cycle departments to ensure that contracts can be administered from a hospital billing perspective. Works collaboratively with Patient Care Coordination (PCC) to ensure that contracts can be administered from a Utilization Management perspective. Improve overall Managed Care integration into the Piedmont organization through effective communication and implementing strategic initiatives. Perform periodic and specific reviews of volume and pricing in an effort to maximize contract performance and continuous improvement.

According to JobzMall, the average salary range for a Director - Managed Care in 1968 Peachtree Rd NW, Atlanta, GA 30309, USA is $90,000 to $145,000 per year. This range may vary depending on the individual's experience in this role, the size of the organization, and the industry in which the organization operates.

A private, not-for-profit organization with 800 locations serving 2.5 million patients across Georgia, Piedmont is transforming healthcare, creating a destination known for the best clinicians and a one-of-a-kind experience that always puts patients first. Today, more than 110 years since it was founded, Piedmont is known as a leading health system in treatment of heart disease, organ transplantation and cancer care with 11 hospitals, 27 urgent care centers, 28 Piedmont QuickCare locations, 555 Piedmont Clinic physician practice locations and more than 2,300 Piedmont Clinic members.