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M681xm5vmdk7c6wspfs

REG DIR - MANAGED CARE - ACUTE

Temecula Valley Hospital Temecula Full-Time
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One of the nation’s largest and most respected hospital management companies, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, UHS today has annual revenue exceeding $10.7 billion. In 2019, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2018, ranked #268 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies.  Our operating philosophy is as effective today as it was 40 years ago, enabling us to provide compassionate care to our patients and their loved ones: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.  Headquartered in King of Prussia, PA, UHS has more than 87,000 employees and through its subsidiaries operates 350 inpatient acute care hospitals and behavioral health facilities and 30 outpatient and other facilities located in 37 states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information on the Company, visit our web site: URL blocked - click to apply

We are seeking a Regional Director, Managed Care for our Southern California market.  This position is responsible for maximizing the performance of UHS’ private payer contracted business in accordance with UHS strategic and financial directives.  As the Regional Director, Managed Care, you will be guided by, and asked to improve upon, contracting parameters and tools which ensure execution and maintenance of private payer contracts that meet UHS corporate financial goals and maximize the potential for revenue collection per company systems.  You will lead and coordinate contract negotiations, and project their financial performance which includes the requirement to develop various modeled financial scenarios in conjunction with Decision Support staff and the Vice President of Payer Strategies/Managed Care.  You will ensure revenue cycle coordination among all functional areas required to maximize collections of expected revenues.  You will lead the market in the evolving transition from traditional, fee-for-service revenue to fee-for-value and pay-for-performance models.  You will coordinate all efforts with appropriate staff responsible for the financial performance maximization of company-owned and managed physician practices (IPM) including Southern California market leadership.

UHS Southern California acute care market today consists of five (5) facilities - - four in the Inland Empire in Riverside County, and one in northern Los Angeles County.  The market accounts for approximately $660 M in annualized revenue, including almost $450 M in private payer revenue across employer/commercial, public individual exchange, MediCal and Medicare Advantage lines-of-business.  Key health plan relationships include Kaiser, Anthem/Blue Cross of Anthem and Blue Shield of California; in addition, key independent physician association’s relations include North American Medical Management (NAMM)/PrimeCare and Heritage Provider Network.

This opportunity provides the following:
• Challenging and rewarding work environment
• Growth and development opportunities within UHS and its subsidiaries
• Competitive Compensation
• Excellent Medical, Dental, Vision and Prescription Drug Plan
• 401k plan with company match
• Generous Paid Time Off
• Relocation benefits
• Bonus opportunity

Job Requirements

Requirements:

  • Bachelors Degree in Business, Healthcare Management or other closely related field; Master’s degree, preferred

  • Minimum of 8 years of managed care negotiations/contracting experience

  • Extensive knowledge of health finance and systems employed by physicians, employers and institutional entities as well as public and private database systems

  • Comprehensive working knowledge of managed care contracting and practices essential to maximize revenue and margins generated for healthcare services paid through various algorithms


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 on line.

EOE/Affirmative Action Employer M/F/D/V

UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this 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.

 

Recommended skills

Managed Care
Databases
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Job ID: 87188

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