LCMC Health System

Your job is more than a job

Under the supervision of the LCMC System Director of Managed Care, the Manager of Managed Care is responsible for duties related to managed care contracting and employer relations operations. The Manager of Managed Care will participate in the development of the LCMC System contracting and employer relations strategy for hospitals and physicians. This position will provide support to the Director of Managed Care in evaluation of new payer agreements, establishing negotiations goals, negotiating contract renewals and deployment LCMC's employer relation strategy.

GENERAL DUTIES

Strategy:

• Participates in development of and executes managed care and employer/broker strategy for LCMC hospitals and physicians.
• Responsible for identifying opportunities for LCMC to grow market share.
• Establishes productive business relationships with payor representatives and participates in JOCs.
• Manages the planning process for contract renewals and negotiations including assessment of historical performance and issues as well as identification of payor specific issues.

Analysis:

• Provides analysis and summary of reimbursement and language terms of payor contracts.
• Works closely with analytics staff and legal counsel to review proposed agreements.
• Ensure all documents associated with the negotiated payor agreement are in contract management systems correctly at all times.
• Provide biweekly updates on significant payer issues.
• Ensures that all deadlines for initial credentialing and renewals for hospital are met.

Employer Relations:

• Supports LCMC’s employer and insurance broker relationship strategy.
• Responsible to identify key payers, brokers, employers, and employee groups in the Hospitals primary and secondary service areas and develop relationships of trust within these groups in order to identify and advise them on market opportunities which would support LCMC’s growth strategy.
• Assist in the development and presentation of LCMC Hospitals tactics to assist Payers, Brokers, and Employers in cost affective alternatives to consider during their benefit selection process and impact that decision making process.

EXPERIENCE QUALIFICATIONS

5 years of experience with Managed Care, Payor or Provider Contracting.

Experience in marketing insurance products and insurance benefit design is a plus.

EDUCATION QUALIFICATIONS

Bachelor’s degree in healthcare management, Accounting, Business, or other related field

WORK SHIFT:

Days (United States of America)

LCMC Health is a community.

Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary

Your extras

• Deliver healthcare with heart.
• Give people a reason to smile.
• Put a little love in your work.
• Be honest and real, but with compassion.
• Bring some lagniappe into everything you do.
• Forget one-size-fits-all, think one-of-a-kind care.
• See opportunities, not problems – it’s all about perspective.
• Cheerlead ideas, differences, and each other.
• Love what makes you, you - because we do

You are welcome here.

LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

Simple things make the difference.

1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.

2. To ensure quality care and service, we may use information on your application to verify your previous employment and background.

3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.

4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.