Finance Positions

Director, Provider Networks Negotiator, Florida:

 

Part of reimbursement department; no direct supervision;

 

Bachelor’s min, master’s in progress or within 2 years of hire;

 

Negotiate fee-for-service hospital and medical group contracts for multiple lines of business in managed care markets; maintain provider participation within the network; and help expand and develop provider network

 

Analyzes market data and financial models; prepares and negotiates provider contracts; develops and expands provider participation within the network; maintains provider participation within the network; monitors provider performance; implements corrective action plans; identifies current issues and probable future issues; guides staff through resolution; documents contracts; updates contracts as changes occur;

 

5 years of progressive provider network contract negotiation experience or equivalent combination of education and experience required; healthcare management environment including provider contracting, servicing and benefit interpretation

 

2 years supervisory experience

 

NO tobacco use.

 
Business Office Manager, 2 jobs, TX and AZ:

 

Profit hospitals;

 

BS min, 5 years’ exp in acute care hospital business office

 

Ability to work with physicians collaboratively; high level of business computer applications and excellent customer service; facilitate all revenue cycle functions; ensure that patients are promptly and accurately registered and data is communicated to appropriate areas;

 

Monitor collection functions from 3rd party payers and patients to maximize cash flow and reimbursement

 

Coordinate managed care contract negotiations, contract financial performance analysis and payer contract compliance

 

Ensures proper internal hospital communication services (PBX) are provided to allow daily operations to function well

 

Coordinates work process flows between patient financial staff and ancillary personnel to provide courteous customer service;

 

TJC and state regulations regarding billing and collection guidelines; process issues evaluated for compliance with hospital policy and initiates PI as indicated;

 

Addresses complaints and follows through with resolutions to prevent recurrences; interfaces with CFO concerning operational obstacles; assures adequate staffing; managing operational costs based on budget constraints; approves personnel functions related to hiring, termination, and disciplinary actions; responsible for department’s PI and CQI activities

 

 

 

 

Contact:

 

 

 

Tina Roberts, President
JONATHAN CHASE EXECUTIVE SEARCH

 
588 Sutter Street, Suite 349
San Francisco, CA 94102

 
(415) 770-1200
(415) 684-2526

 
tinaroberts@contactjc.com

 

***Serving Clients with Interim and Permanent Recruiting Services since 2001