Job: Assistant Director for Managed Care

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Job Description

Extended Job Title
Assistant Director for Managed Care

Org Level 1
Texas Tech Unv Hlth Sci Ctr El Paso

Position Description
Performs varied and complex administrative duties in the management and coordination of a large specialized project and/or program. Requires independent judgment and application of established policies and procedures. Works under general supervision with evaluation based on overall results obtained.

Requisition ID
12941BR

Travel Required
Up to 25%

Major/Essential Functions

  • Runs and analyzes reports with regards to contract volume, reimbursement levels, and clinical activity to provide recommendations to Sr. Director (for process improvement and business opportunities).
  • Runs informatics reports regularly and accurately. Stays up-to-date on training requirements and software updates to maximize use of available resources.
  • Tracks & reviews existing contracts & assures they are updated as dictated by contract start/end dates Monitors ASC contract effective, renewal, and end dates, initiates administrative process for renewal or termination, tracks physical location of contracts/amendments routed for execution.
  • Collaborate with departments to develop controls and streamline processes to ensure contract obligations are met. Communicates with respective departments and personnel to confirm processes are in place to fulfill contract requirements; keeps departments and personnel informed and updated on contract requirements and changes.
  • Remains abreast of new and emerging reimbursement and market trends and/or regulatory PC Phone Research and maintains specific data analytics to respond to identified changing trends.
  • Recommends operational/strategic changes requirements specifically as it relates to commercial,governmental plan expansions, and managed payers.support of commercial reimbursement. The results will be communicated to the Sr. Director for further strategies.
  • Supervises, directly, Lead Analysts including technical direction and resource management guidance.
  • Prepares and manages project list to meet departmental needs. Communicates on a frequent basis to develop and manage progress.
  • Reviews and implements work plans detailing the operational steps and time lines for Managed Care negotiations. Collaborates with internal and external leadership and modify program plans, as necessary.
  • Provides Leadership and Creates strategic plans for TTUHSC's Managed Care critical projects.

















     


Grant Funded?
No

Minimum Hire Rate
$4,000

Pay Basis
Monthly

Work Location
El Paso

Preferred Qualifications
Ability to identify, analyze and resolve problems; detail oriented with experience in managing multiple projects
simultaneously. Basic knowledge of contract terminology. Prior experience in health plans and government programs.
Bachelor's degree in business or public administration.


Campus
HSC - El Paso

Department
MPIP Managed Care Elp

Required Attachments
Resume / CV, Transcript

Job Type
Full Time

Pay Statement
Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as, the institutional pay plan. For additional information, please reference the institutional pay plan on the Human Resources webpage.

Job Group
Professionals

Shift
Day

EEO Statement
As an EEO/AA employer, the Texas Tech University System and its components will not discriminate in our employment practices based on an applicant’s race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information or status as a protected veteran.

Required Qualifications
Bachelor's degree in the area of specialization or closely related field. Three years of related administrative and technical experience. Additional job related education may be substituted for the required experience on a year-for-year basis.

Does this position work in a research laboratory?
No