Managing Director (Managed Care/Alberta)

Extended Job Title
Managing Director (Managed Care/Alberta)

Org Level 1
Texas Tech Unv Hlth Sci Ctr El Paso

Position Description
Oversee the execution and development of all external managed care contracts (MCCs) and contractual relationships critical to the financial health of TTUHSC El Paso and it's referral base. Additionally, this position will plan, direct and oversee all daily operations within the office of provider services (credentialing and enrollment).

 

Requisition ID
35114BR

Travel Required
None

Major/Essential Functions
For a detailed/complete position description, please contact Human Resources at EmploymentServices-ElPaso@ttuhsc.edu or call 915-215-4145.
 

Grant Funded?
No

Minimum Hire Rate
Compensation is commensurate upon the qualifications

Pay Basis
Monthly

Schedule Details
M-F, 8:00am-5:00pm

Work Location
El Paso

Preferred Qualifications

• Master's degree in business management or healthcare administration preferred
• Job-related certification (i.e., CPCS, CPMSM, FACHE) preferred
• Previous related experience specific to provider credentialing

Campus
HSC - El Paso

Department
Managed Care Elp

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
Mid-level Officer and Manager

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 related area (Accounting, Business Administration, Business Management or Finance preferred); Master's in Business Management or Healthcare Administration preferred
• Education beyond bachelor's level may substitute for required experience on a year-for-year basis
• Seven (7) years of progressively responsible management or supervisory level managed care contracting experience in a financial or health care setting with at least three (3) of these years’ experience in health care (academic medicine/health sciences center, hospital or health care system setting preferred)
• Demonstrated knowledge of healthcare insurance, hospital and/or physician billing and reimbursement, administration, systems, practices and principles
• Demonstrated ability to effectively utilize negotiation techniques and practices in order to effectively advocate for TTUHSC El Paso
• Advanced proficiency in computer software applications (i.e. MS Office) and various EMRs, tracking databases, spreadsheets, etc. as demonstrated though specific examples
• Demonstrated ability to work well within a multi-disciplinary team and collaborate effectively with physicians, staff, patients/families and other internal and external customers
• Knowledge of Medicare, Medicaid and third party MCO enrollment policies and procedures

Does this position work in a research laboratory?
No

Jeanne Clery Act
The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx