Senior Managed Care Contractor
Senior Managed Care Contractor-1700773
Duties of a Managed Care Contractor may include the following but are not limited to:
- Development of financially advantageous managed care compensation proposals by accurate analysis of utilization, demographic, case mix and market share data.
- Assist in negotiating managed care agreements on behalf of Stony Brook University Hospital and the Stony Brook Medicine faculty practices.
- Prepare reports and presentations on managed care utilization, trends and financial impact.
- Facilitate the implementation of managed care products such as hospital, physician and non-physician clinical networks and integrated delivery systems.
- Review and disseminate health insurer/plan policies and operating procedures to Stony Brook Medicine constituencies and provide education and support resources for the accurate implementation of same.
Bachelor's degree. Minimum of three (3) years experience with managed care contracting with emphasis on network development. Candidate must demonstrate excellent project management skills and be proficient in high level database management. Strong background in healthcare policy and management with an emphasis on marketing. Position requires contracting/negotiating, interpersonal and quantitative skills and the ability to work independently with guidance.
Preferred Qualifications: MBA, MHP, MPA or equivalent advanced degree. Experience with both health insurers/plans and health care providers, particularly academic medical centers. Experience in the development, implementation and administration of managed care agreements. Experience with monitoring of financial performance of manged care agreements and health care claims billing and payment.
Special Notes: Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises. All Hospital positions are subject to changes in pass days and shifts as necessary. This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
The selected candidate must successfully clear a background investigation. Prior to start date, the selected candidate must meet the following requirements: Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services (The hiring department will be responsible for any fee incurred for examination), submit (3) written references, and provide a copy of any required New York State license(s)/certificate(s). Please be advised that failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
About Stony Brook Medicine:
The best ideas in medicine start with the best people. At Stony Brook Medicine, our highest calling is to put the power of ideas to work in our patients’ lives. Stony Brook Medicine integrates and elevates all of our health-related initiatives: education, research and patient care. Stony Brook Medicine is Long Island’s premier academic medical center. With 603 beds, we serve as the region’s only tertiary care center and Level 1 Trauma Center, and are home to the Stony Brook Heart Institute, Stony Brook Cancer Center, Stony Brook Children’s Hospital, Stony Brook Neurosciences Institute, and Stony Brook Digestive Disorders Institute. We also encompass Suffolk County’s only Level 4 Regional Perinatal Center, state-designated AIDS Center, state-designated Comprehensive Psychiatric Emergency Program, state-designated Burn Center, the Christopher Pendergast ALS Center of Excellence, and Kidney Transplant Center. It is home of the nation’s first Pediatric Multiple Sclerosis Center.
Stony Brook University is an Affirmative Action/Equal Opportunity employer. We are committed to the creation of a diverse and inclusive campus climate. We encourage protected veterans, individuals with disabilities, women and minorities to apply.
IF YOU NEED A DISABILITY-RELATED ACCOMMODATION, PLEASE CALL THE UNIVERSITY HUMAN RESOURCE SERVICES DEPARTMENT AT (631) 632-6161 OR THE UNIVERSITY HOSPITAL HUMAN RESOURCES DEPARTMENT AT (631) 444-4700.
IN ACCORDANCE WITH THE TITLE II CRIME AWARENESS AND SECURITY ACT, A COPY OF OUR CRIME STATISTICS IS AVAILABLE UPON REQUEST BY CALLING (631) 632-6350. IT CAN ALSO BE VIEWED ON-LINE AT THE UNIVERSITY POLICE WEBSITE AT http://www.stonybrook.edu/police
Official Job Title: TH Staff Associate
Job Field: Administrative & Professional (non-Clinical)
Primary Location: US-NY-Stony Brook
Department/Hiring Area: Managed Care-Stony Brook University Hospital
Schedule: Full-time Day Shift 8:00 M - 5:00 PMManaged Care-Stony Brook University Hospital
Posting Start Date: May 5, 2017
Posting End Date: Jun 4, 2017, 10:59:00 PM
Salary: Up tp $150,000
Salary Grade: SL4