Responsible for managing provider relations within market with regard to physicians, hospitals, members, news media and general public. Acts as liaison to ensure all groups are effectively informed and updated by the health plan, as necessary. Plans, directs, and implements programs to increase use of facility services through selectively targeted relationships with managed care plans. Responsible for development and refinement of managed care strategy designed to identify economically beneficial HMO/PPO/EPO relationships for the organization. Routinely evaluates existing managed care programs, monitors contracting entities' performance, and negotiates new or renewal provider contracts. Effectively interfaces with all facility areas, particularly the IS, Finance, and Clinical areas, to guide, provide advice and assist those areas in achieving maximum benefit within a managed care environment.
Bachelor's degree or equivalent combination of education and experience.
Strong analytical and financial abilities. Demonstrated skill using MS Office products including Excel and Word. Excellent organizational skills with ability to gather, analyze and interpret information. Understanding of healthcare delivery system and hospital operations; familiarity with group health insurance market, conventional indemnity, and self-insured products; awareness of physician referral arrangements; knowledge of managed care process, provider reimbursement and financial risk models; and utilization management procedures. High level of interpersonal skills, including political sensitivity, sound judgment, problem solving and negotiating skills. Prefer 3 years in healthcare with at least 2 years working in managed care contracting. Prefer contract negotiations.
Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.