PACS
Salt Lake City, UT
General Purpose This position manages, negotiates, and optimizes reimbursement agreements between SNFs and managed care organizations. The Director of Managed Care will be responsible for maintaining relationships with existing managed care plans, identify new managed care payers in states/markets served, and providing education to our SNFs on how to operationalize contracts. Essential Duties Negotiate new managed care agreements with health plans, the VA and hospitals. Negotiations include but are not limited to exclusions, add-ons, levels of care, lines of business and terms. Evaluate contracts for financial viability against operational costs. Lead initiatives to increase Managed Care PPD and expand health plan contract networks. Identify and secure relationships with new health plans and specialized service lines. Analyzes existing managed care agreements to determine if rates need to be renegotiated, or if contract is still viable. Consult with...