Director Managed Care & Revenue Integrity - Revenue Cycle Management
SUMMARY: The Director, Managed Care & Revenue Integrity reports directly to the Vice President, Revenue Cycle &
Managed Care and
is responsible for coordinating and executing payer contracting strategies and
functions, as well as revenue integrity programs. This position is responsible
for the negotiation and management of payer contracts that meet the financial,
operational and strategic goals of Valley Children’s Healthcare. The director is responsible for developing
and maintaining productive payer relationships; negotiating hospital and
hospital-based provider contracts; and ensuring contract performance goals are
met. This position acts as the primary lead for all payer relations at Valley
Children’s Healthcare. This position directs all revenue integrity functions
including charge capture audits, charge master maintenance, performance
improvement, as well as analysis and reporting for executive-level decision
support. The position ensures
organizational compliance with all regulatory billing guidelines.
have a broad based knowledge of hospital and medical group operations. Must maintain expert knowledge of the managed
care industry and its application in a hospital setting. Must have knowledge of hospital and medical
group contract management and financial information systems.
REQUIREMENTS: This position requires a Bachelor's degree with an advanced degree preferred. Minimum five (5) years related work experience required with three (3) years managerial experience preferred.
POSITION DETAILS: Full time exempt level position
PAY RANGE: $74.30 - $96.65
LOCATION: Madera, CA