Job description

The Manager, Managed Care Finance oversees and provides analytical support for the assessment, negotiation, administration, and maintenance of managed care contracts for Tenet OP Centers. This position provides contract modeling and financial analyses functions. Must be able to complete and lead analytical projects under time-sensitive deadlines. This position will report to Sr. Director, Managed Care Finance.

Key functions:
Lead and create pricing analyses to support the negotiation and implementation of reimbursement rates and associated contract language.

Work closely with development team on potential acquisitions to help provide managed care revenue projections based on contract terms.

Review and accurately interpret contract financial terms.

Oversee and prepare contract modeling and complex analyses with high degrees of accuracy and efficiency.

Works closely with managed care negotiation teams to support negotiations and decision-making.

Prepares and maintains contractual rates; works closely with Managed Care Operations team to ensure successful contract implementation and maintenance.

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Qualifications:
Bachelor’s degree, preferably in business, healthcare management or related field.

Knowledge of healthcare reimbursement methodologies and coding (DRG, APC, CPT/HCPCS, ICD-10) required.

3 years financial analysis in healthcare industry, including contract modeling.

Strong Microsoft Excel knowledge.

Solid understanding of key business drivers.

Strong organizational skills, including project planning and time management.

Ability to work on various assignments simultaneously.

Demonstrates a high level of critical thinking.

Communicates effectively both verbally and in writing.

Tenet Healthcare/USPI complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

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