HCA, Hospital Corporation of America Manager, Managed Care Reporting in Nashville, Tennessee
Parallon believes that organizations that continuously learn and improve will thrive. That's why, after more than a decade, Parallon remains dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future.
As one of the healthcare industry's leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized services in the areas of revenue cycle, purchasing, supply chain, technology, workforce management and consulting.
Parallon's purpose is simple. We serve and enable those who care for and improve human life in their communities.
GENERAL SUMMARY OF DUTIES: Translates managed care contract terms and model relevant parameters in Contract Profiler and Calculator Model (CPCM) to ensure accurate discounts on patient accounts and proper reflection of expected net revenue. Works with PAS management and managed care staff to ensure appropriate contract interpretation and monitor payor indicators.
DUTIES INCLUDE BUT ARE NOT LIMITED TO: Coordinate managed care contract implementation activities with the Contract Negotiators, Payor Representatives and the Functional Managers within PAS Liaison with PAS Functional Managers and Managed Care Negotiators and Payors to address managed care contract administration issues Review managed care I-Plans in accordance with corporate standards and PAS procedures Model managed care contract payment terms using CPCM (or other approved modeling tools) Coordinate with IT&S Reimbursement Product Support for modeling of government or other contracts modeled directly in the Payment Calculator System Publish and maintain Automated Quicksheets in the PayorFacts system for managed care contracts Provide educational resources to support contract implementation and administration Attend PAS management meetings or facility contract management teams as necessary Practice and adhere to the “Code of Cond
KNOWLEDGE, SKILLS & ABILITIES Communication - communicates clearly and concisely, verbally and in writing Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations Interpersonal skills - able to work effectively with other employees, patients and external parties PC skills - demonstrates proficiency in Microsoft Office applications and others as required Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems Basic skills - able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately
EDUCATION Bachelor’s degree in Business, or Bachelor’s in another field with appropriate healthcare business experience 3-8 years medical finance, managed care contracting, or business office/claims shop operations experience
EXPERIENCE Excellent oral and written communication skills Self motivated. Able to work independently and as a team member Analytical Detail oriented Excellent PC skills Excellent People skills Management skills Organizational skills
Title: Manager, Managed Care Reporting
Location: Tennessee-Nashville-PAS - Nashville
Requisition ID: 08942-125109