Director of Managed Care

Director of Managed Care at Mount Sinai Medical Center Director of Managed Care at Mount Sinai Medical Center in Key Biscayne, Florida Posted in about 21 hours ago.

Type:

full-time

Job Description:

Key Responsibilities Leads all day?to?day managed care operations, serving as the primary operational point of accountability for contracting activities, payer issue resolution, and contract performance oversight. Executes hospital and physician contracting efforts-including negotiation of rates, terms, and contract language-based on strategic direction and priorities set by the VP and executive leadership. Oversees and directs the financial modeling and contract performance analysis process, ensuring that all analyses support negotiation activities and reflect organizational expectations. Ensures all aspects of the negotiation lifecycle are completed thoroughly and accurately, including data preparation, modeling, terms review, internal alignment, finalization, and implementation. Collaborates closely with Revenue Cycle, Finance, Population Health, and other stakeholders to ensure negotiated terms are implemented correctly and that ongoing performance aligns with expected financial and operational outcomes. Provides operational leadership, guidance, and support to Managed Care staff, ensuring daily work is aligned with department goals and Medical Center strategy. Monitors contract performance on an ongoing basis, identifies variances, and initiates corrective actions in coordination with internal stakeholders and under VP direction. Requirements Bachelor's degree required; Master's preferred. 7-10 years of managed care contracting experience within a hospital or health system. Strong negotiation, financial analysis, and communication skills. Experience with value?based care models and reimbursement methodologies.