Morrisville, NC30+ days ago
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. Operational - Each of the positions with the title of HCS Director of Managed Care Contracting will be responsible for leading day-to-day management of a portfolio of payer contracts representing $500 million to more than $2 billion in annual system revenue that could cover any part of the managed care spectrum (commercial, Medicare Advantage, Medicaid Managed Care, specialty and carve-out services, direct to employer, etc.) covering all of UNC Healths owned and managed hospitals, physician groups, and ancillary services.