At a Glance
- Tasks: Manage payer contracts and ensure compliance while supporting revenue cycle teams.
- Company: Join Wood County Hospital, where your contributions truly matter.
- Benefits: Competitive salary and a supportive team environment.
- Other info: Onsite role with opportunities for professional growth.
- Why this job: Make a real difference in healthcare by optimising reimbursement processes.
- Qualifications: Bachelor's degree and two years in healthcare payer relations required.
The predicted salary is between 36000 - 60000 £ per year.
Elevate your career at Wood County Hospital, where you are a vital part of a team making a real difference. The Manager, Managed Care supports the effective administration, analysis, and implementation of payer contracts to ensure compliance, operational accuracy, and alignment with organizational financial and performance goals. This role serves as a key liaison between payers and internal stakeholders to support optimal reimbursement and contract performance. The Manager, Managed Care is an onsite position.
Essential Functions
- Administer and interpret payer contracts by maintaining documentation, reviewing payer updates, and coordinating resolution of contract changes.
- Analyze managed care data by producing ad hoc reports, fiscal summaries, and tools to support revenue cycle teams.
- Coordinate contract management system accuracy, compliance requirements, and required payer attestations.
- Collaborate with internal departments to implement payer contracts, communicate initiatives, and ensure contractual obligations are met.
- Serve as liaison with contracted health plans by maintaining payer relationships, supporting credentialing activities, and resolving payer-related issues.
- Prepare, prevent, protect and respond to support our culture of safety.
- Resolve disputes or issues independently, without routine escalation needed.
- May be expected to work longer hours as necessary.
- Other duties as assigned.
Requirements
- Education: Bachelor’s degree in business, healthcare administration, or related field.
- Experience: Two (2) years in healthcare related payer relations/contracts or other related revenue cycle role.
PHYSICAL REQUIREMENTS
- In an 8 to 12-hour workday, employee stands/walks (hours at one time): 0-2
- In an 8- to 12-hour workday, employees sit (hours at one time/hour during the day): 4-6
- Employee lifts: up to 10 #
- Lifting as indicated above is performed during the workday: occasionally
- Employee uses hands for repetitive tasks: Simple grasping: yes, Pushing/pulling: yes, Fine manipulation: yes
- Employee uses feet for repetitive movement in operating foot controls: no
- Employee must be able to: Bend: occasionally, Squat: occasionally, Kneel: occasionally, Climb: occasionally
Manager, Managed Care in Derby employer: Wood County Hospital
At Wood County Hospital, we pride ourselves on fostering a collaborative and supportive work environment where every employee is valued and empowered to make a meaningful impact in healthcare. As a Manager in Managed Care, you will benefit from professional growth opportunities, competitive compensation, and a culture that prioritises safety and teamwork, all while working in a community-focused facility dedicated to improving patient outcomes.
StudySmarter Expert Advice🤫
We think this is how you could land Manager, Managed Care in Derby
✨Tip Number 1
Network like a pro! Reach out to current employees at Wood County Hospital on LinkedIn or through mutual connections. A friendly chat can give you insider info and might just get your foot in the door.
✨Tip Number 2
Prepare for the interview by knowing your stuff! Research the latest trends in managed care and be ready to discuss how your experience aligns with their goals. Show them you’re not just another candidate, but the perfect fit.
✨Tip Number 3
Practice makes perfect! Do mock interviews with friends or family to boost your confidence. Focus on articulating your past experiences and how they relate to the role of Manager, Managed Care.
✨Tip Number 4
Don’t forget to apply through our website! It’s the best way to ensure your application gets seen. Plus, it shows you’re genuinely interested in being part of the Wood County Hospital team.
We think you need these skills to ace Manager, Managed Care in Derby
Some tips for your application 🫡
Tailor Your Application:Make sure to customise your CV and cover letter for the Manager, Managed Care role. Highlight your experience in healthcare payer relations and how it aligns with our goals at Wood County Hospital. We want to see how you can make a real difference!
Showcase Your Skills:Don’t just list your qualifications; demonstrate how your skills in contract management and data analysis can benefit us. Use specific examples from your past roles to illustrate your expertise and problem-solving abilities.
Be Clear and Concise:Keep your application straightforward and to the point. We appreciate clarity, so avoid jargon and focus on what makes you the best fit for the position. Remember, we’re looking for someone who can communicate effectively with both payers and internal teams.
Apply Through Our Website:We encourage you to submit your application through our website. It’s the easiest way for us to review your materials and get back to you. Plus, it shows you’re serious about joining our team at Wood County Hospital!
How to prepare for a job interview at Wood County Hospital
✨Know Your Payer Contracts
Before the interview, make sure you thoroughly understand the payer contracts relevant to the role. Familiarise yourself with common terms and conditions, as well as any recent changes in the industry. This will help you demonstrate your expertise and show that you're ready to hit the ground running.
✨Showcase Your Analytical Skills
Since the role involves analysing managed care data, be prepared to discuss your experience with data analysis. Bring examples of reports or tools you've created in previous roles that supported revenue cycle teams. This will highlight your ability to contribute effectively to the organisation's financial goals.
✨Emphasise Collaboration
The Manager, Managed Care position requires working closely with various internal departments. Be ready to share examples of how you've successfully collaborated with others in the past. Highlight your communication skills and your ability to resolve issues independently, as this will resonate well with the interviewers.
✨Prepare for Scenario Questions
Expect to face scenario-based questions during the interview. Think about potential challenges you might encounter in managing payer relationships or contract compliance, and prepare thoughtful responses. This will showcase your problem-solving abilities and readiness to tackle real-world situations.
