Career Opportunities
LHC Group - Administrative Careers

Managed Care Contracting Manager-Director Job

Job Number: 2017-13449

Agency: LHC Group Inc Home Office

Location: Lafayette, LA

Schedule: Full-Time

Full Job Title: Managed Care Contracting Manager / Director - Lafayette


LHC Group is the preferred post-acute care partner for hospitals, physicians and families nationwide. From home health and hospice care to long-term acute care and community-based services, we deliver high-quality, cost-effective care that empowers patients to manage their health at home. More than 60 leading hospitals and health systems around the country have partnered with LHC Group to deliver patient-centered care in the home. More hospitals, physicians and families choose LHC Group, because our 11,000 employees in 25 states are united by a single, shared purpose: It's all about helping people.

Additional Details

Essential Job Functions:

* Directs the activities of personnel assigned to managed care contract negotiations, including LHC management and staff, outside contractors and others.

* Participates directly in managed care contract negotiations. Utilizes cost and managed care scorecard analyses to negotiate an acceptable rate.

* Collaborates/communicates with revenue cycle and operations leadership to ensure operationalization of all managed care business for the company.

* Uses technology to continuously implement more efficient and effective processes within the department.

* Conducts initial and ongoing communication with new acquisitions regarding their current contracts. Facilitates planning for managed care “transition patients” and negotiations of LOAs and|or new contracts.

* Ensures the maintenance and disbursement of an effective and efficient data base of all current, pending and proposed managed care contracts.

* Maintains regular contact w ith SMT and the field management regarding status of all contracts.

* Ensures the timely and accurate set-up and updates of managed care payer information within the Patient Accounting systems. Coordinates with RC Systems Administrators as required.

* Coordinates and maintains payer relations. Utilizes resources to ensure timely and accurate payments with contracted payers.

* Participates in the development of Department best practices. With the management team, develops and implements procedures to facilitate efficient workflow and paper flow within the Department. Assists in development and|or revision of departmental job descriptions, duties, and operating procedures.

* Ensures Department compliance with company, departmental, and regulatory processes and procedures.

* Prepares statistical and other reports as requested. Forwards to management as directed.

* Maintains a working know ledge of industry and related regulatory rules and regulations. updates appropriate staff of changes within the industry.

* As directed, represents the Department and actively participates on various external and internal forums, teams and audits.


Educational Requirements:

* Bachelor’s degree in business or related field required.

Experience Requirements:

* Two to five years health care management experience required.

* Experience with management of computerized billing systems.

* Experience with managed care contracting required.

* Supervisory experience preferred.

Skill Requirements:

* Proficiency with various PC based software programs, i.e., Excel, MS Word, etc.

* General know ledge of rules and regulations governing third party payers.

* Know ledge of general accounting principles.

* Excellent interpersonal skills.

* Excellent oral and written communication skills.

* Excellent organizational and analytical skills.

* Positive customer relations skills and the ability to work effectively as a member of interactive teams.

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