Tenet Healthcare has an immediate opportunity for an experienced Director, Managed Care Economics to join our tenured corporate team. This is an in-office role at our corporate HQ in north Dallas. The Director is involved in the support of all areas of Managed Care Tenet Physician Resources (TPR) contracting from negotiations support, contract administration, financial reporting, modeling, and strategic placement of annual rate escalators to maximize return to Tenet, CDM strategies under Tenetâ��s contracts, and enhancing auto-adjudication and collections improvements. The Director acts as an internal consultant, managing and providing ongoing anlysis of the managed care relationship between our employed providers (Physicians and Advanced Practice Providers) and the commercial payer contract negotiators.
General duties include: financial modeling and analysis for negotiations, analysis of payor trends, statistical and budget reporting (monthly & quarterly). Also responsible for the daily production activities of the Managed Care Analyst(s) and works closely with TPR to ensure all managed care claims are contractualized accurately to net realizable/collectible values which is essential to accurately reflecting A/R. Also serves as lead finance for all large and multi-facility projects such as A/R settlements, contract structure conversions, conditional contract increase provisions, coding updates, etc. Is critical to the accurate rate placement by payor, by facility, by service type for all facilities under his/her span of control. High volume, highly visible role that includes high level of engagement with internal and external stakeholders at all levels of the organization, up to and including executive teams.
5-10 years of financial/analytical /accounting experience in physician operations and contracting environment
Degree preferred but experience considered in place of degree where applicable
Strong Database skills to manage multi-million line claims database
Prior use of TriZetto, nThrive or MedAssets systems are a plus
Modeling expertise, primarily using excel
Intuitive sense of contracts and commoditized versus non-commoditized hospital service lines
CDM analysis and pricing expertise
A team player with strong multi-tasking skills
Excellent interpersonal and communication skills with all levels of staff, including hospital, regional offices and headquarters personnel as well as external constituents
Primary Location: Dallas, Texas
Facility: 979-Dallas, Texas
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Internal Number: 2105000524
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.