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Managed Care Senior Specialist

Job Description


Job ID: 1207207
Employment Status: Full-Time
More Information:

Boone Hospital Center is a 394-bed full service hospital located in Columbia, MO. It is a regional referral center located in the center of the state. The hospital provides progressive healthcare programs, services, and technology to people in 26 mid-Missouri counties. Although the hospital is full service, areas in which Boone Hospital Center excels are cardiology, neurology, oncology, surgical, obstetrical services, and numerous other specialties. The hospital maintains a 24-hour emergency center with hospital-based ambulance service and a helipad for incoming emergency air transportation.  Recognizing its excellence in nursing care, Boone Hospital Center has been certified as a "Magnet Hospital" by the American Nurses Credentialing Center.
 


Overview


Role Purpose

Responsible for providing analysis and support during contracting process; supplying reimbursement reports and analyses; ensuring optimization of net revenue under existing managed care contracts; and acting as consultant to BJC HSO's on managed care issues.


Responsibilities

  • Coordinate financial support and analysis for managed care contract negotiations.
  • Analyzes pricing and financial trends to develop strategic initiatives.
  • Develops and utilizes innovative reporting tools.
  • Reviews and acts as a consultant to reimbursement methodologies and rate development.

  • Minimum Requirements

     

    Degree

  • Bachelor's Degree
  • - Healthcare Admin/related

     

    Experience

  • 5-10 years
  •  

    Supervisor Experience

  • No Experience

  •  

    Preferred Requirements and Additional Job Information

     

    Degree

  • Master's Degree
  • - Finance/HC Admin/related

     

    Experience

  • 10+ years
  •  

    Licenses & Certifications

  • CPA

  • Benefits Statement

    Note: not all benefits apply to all openings

    -  Comprehensive medical, dental, life insurance, and disability plan options
    -  Pension Plan*/403(b) Plan
    -  401(k) plan
    -  Tuition Assistance
    -  Health Care and Dependent Care Reimbursement Accounts
    -  On-Site Fitness Center (depending on location)
    -  Paid Time Off Program for vacation, holiday and sick time

    *Pension does not apply to Memorial Hospital, Memorial Hospital East, Alton Memorial or Parkland Health Center


    Legal Statement

    The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.

     

    Equal Opportunity Employer