Manager of Payer Strategies

Join the Southwest Healthcare Team!

About Us:

Creating Health and Harmony, Southwest Healthcare is a comprehensive network of care with convenient hospital and ambulatory care/outpatient locations here to serve the Southern California community. With over 6,000 passionate providers and healthcare employees, our shared goal is to provide convenient access to a wide range of healthcare services in a way that benefits you, your family, and the entire community.

Southwest Healthcare is comprised of five acute care hospitals and several non-hospital access points, including: Corona Regional Medical Center, Palmdale Regional Medical Center, Southwest Healthcare Rancho Springs Hospital, Southwest Healthcare Inland Valley Hospital and Temecula Valley Hospital, Temecula Valley Day Surgery, A+ Urgent Care Centers, Apex Heart Specialists, and Riverside Medical Clinics. For more information, please visit our website at www.swhealthcaresystem.com.

Job Summary:

Southwest Healthcare is seeking a Manager of Payer Strategies who will assist the Regional Managed Care Director with Payer Contracting and Payer Relations This is a fully remote position. Duties include but not limited to:

• Assist in overseeing and maximizing the performance of UHS managed care contracted business in accordance with sound health care and fiscal management practices.

• Assist in maintaining inventory of managed care contracts and renewal timelines.

• Manage confidential hospital insurance rate information and works on special projects as needed.

• Assist Regional Director of Managed Care with all delivery system Managed Care projects, steering committees, and all regional revenue cycle and denials management committees.

• Minimal travel may be needed based on business needs.

Education/Experience:

• Bachelor's degree from an accredited College or University in related field required.
• Three (3) to Five (5) years of experience in healthcare contracting and negotiations in an ASC setting required. Five (5) to eight (8) years of experience preferred.

Certifications/Licenses:

• None

Other Skills and Abilities:

• Demonstrates knowledge and ensures compliance with The Joint Commission and Title 22 standards and guidelines.
• Demonstrates compliance with Healthcare policies and procedures at all times.
• Ability to set priorities and appropriately organize workload and complete assignments in a timely manner.
• Demonstrates ability to relate to clinical personnel and medical staff, as well as ability to interact well with the public.
• Must have knowledge of PC and applications.
• Must have strong written and verbal communication skills in addition to excellent Microsoft Office skills and a working knowledge of Managed Care processes and payer rate methodology.
• Must be able to multi-task, work independently and meet all time-sensitive correspondence.

• Comprehensive working knowledge of managed care contracting and practices sufficient to maximize revenue generated from these sources.

• Extensive knowledge of healthcare finance practices and methods.

• Demonstrated managed care contract negotiation skills.

• Demonstrated interpersonal and written and verbal communication skills required in imparting and developing contract negotiation practices to Acute Care hospital executive management staff.

Benefit Highlights:

• Challenging and rewarding work environment.
• Competitive Compensation & Generous Paid Time Off.
• Excellent Medical, Dental, Vision and Prescription Drug Plans.
• 401(K) with company match and discounted stock plan.
• SoFi Student Loan Refinancing Program.
• Tuition, CEU, Certification, Licenses Reimbursement program.
• Career development opportunities within UHS and its 300+ Subsidiaries!

Southwest Healthcare is owned and operated by subsidiaries of Universal Health Services, Inc. (UHS), a King of Prussia, PA-based company, that is one of the largest healthcare management companies in the nation.

UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or e-mails. All resumes submitted by search firms to any employee at UHS; via e-mail, the Internet or in any other form and/or method without a valid written search agreement in place for the above-listed position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

EEO Statement:

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.

Notice:

At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.