Director of Managed Care Operations

Join Newport Healthcare: Transform Lives Through Meaningful Work!

Are you ready to embark on a rewarding career in psychiatric healthcare? At Newport Healthcare, we are passionate about delivering exceptional mental health services to individuals in need. Our comprehensive approach covers the entire spectrum of care, creating a wealth of diverse roles for those who aspire to make a real impact. We believe in nurturing talent and fostering professional growth in a supportive environment. Here, you won't just find a job-you'll discover a fulfilling career path in the mental health field.

If you're eager to contribute to a mission-driven organization and help change lives for the better, we invite you to join our dedicated team at Newport Healthcare. Together, we can make a profound difference in the lives of those we serve!

• Contract, Credentialing, and Rate Management: Takes charge of all aspects related to contracts, ensuring meticulous handling of credentialing and rate management.

• Contract Communications and VBA Reporting: Directs all activities related to contract communications and VBA reporting, ensuring clarity and efficiency.

• Contract Review Processes: Manages and oversees the contract review processes, maintaining high standards and compliance.

• Efficiency and Effectiveness Strategies: Implements innovative strategies to enhance the efficiency and effectiveness of managed care operations.

• Collaborative Engagement: Works collaboratively with a diverse range of stakeholders, including providers, executives, operational teams, and regulatory authorities.

• Innovative Managed Care Strategies: Develops and implements cutting-edge managed care strategies that align with the organization's goals and objectives.

• Flexibility in Duties: Performs other duties as assigned, embracing new challenges and opportunities for growth.

• Professionalism: Embody the essence of Newport Healthcare's Mission Statement, Philosophy, and Values through unwavering professional behavior.

• Customer Focus: Go above and beyond to meet the expectations of both internal and external customers! Gather firsthand insights and leverage them to enhance products and services, always keeping the customer or patient at the forefront.

• Adaptability: Embrace change with open arms! Adjust your approach and methods to fit evolving situations, skillfully navigating frequent changes, delays, and unexpected events.

• Communications: Master the art of clear and impactful communication, both verbally and in writing, ensuring your messages resonate and achieve the desired effect.

• Dependability: Show your commitment to excellence! Follow instructions, respond to management direction, keep your promises, and meet attendance and punctuality guidelines while taking responsibility for your actions.

• Detail-Oriented: Maintain a sharp focus on accuracy, producing work that demands continual attention to detail.

• Drives for Results: Ignite your passion for achievement! Consistently push yourself and others to meet and exceed goals with an unwavering desire to drive results.

• Fast-Paced Environment: Thrive in a dynamic setting! Demonstrate your ability to juggle multiple competing tasks and demands with grace and efficiency.

• Functional Skills: Bring your technical expertise to the forefront, showcasing the knowledge and skills necessary to excel at a high level.

• Industry Knowledge: Stay ahead of the curve! Maintain a keen understanding of current and emerging policies, practices, trends, and developments in the industry, while keeping an eye on the competition.

• Negotiating: Navigate tough situations with finesse! Skillfully negotiate to settle differences and secure concessions without compromising relationships.

• Organization: Orchestrate multiple activities seamlessly to achieve your goals, utilizing resources effectively and efficiently.

• Planning: Accurately assess the scope and difficulty of tasks and projects, setting clear objectives and breaking down work into manageable steps while anticipating and overcoming obstacles.

• Process Management: Become a process guru! Identify the necessary steps to get things done, organize people and activities, and simplify complex workflows to create synergy and integration.

Elevate Your Career with Newport Healthcare: Seeking a Managed Care Contracting Expert!

Are you ready to take your career to new heights in the dynamic world of managed care? Newport Healthcare is searching for a talented professional to join our team!

What We're Looking For:

• Education: A Bachelor's degree in Business or a related field is required, with a Master's degree preferred to give you that extra edge!

• Experience: Bring your expertise! We're seeking candidates with 7-10 years of full-time professional experience in managed care contracting to help us navigate the complexities of the industry.

• Knowledge: Your understanding of contractual, administrative, health insurance, and operational issues related to managed care organizations, healthcare providers, and health insurance benefit plan designs will be crucial to our success.

• Analytical Skills: Demonstrated knowledge and ability to analyze payor contracts, provider manuals, reimbursement methodologies, and rates is essential. Your analytical prowess will help us optimize our operations and drive results!

We are excited to hear about your interest in this opportunity! If you have any questions or need assistance with the application process, please feel free to contact me directly at Sydney Spencer, either via email at sydney.spencer@newporthealthcare.com or by phone at 615-961-4138. If you need further support, you are also welcome to reach out to our careers and management team at careers@newporthealthcare.com.

Newport Healthcare provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, genetic information, or any other characteristic protected by federal, state, or local laws.

Newport Healthcare is committed to ensuring equal employment opportunity, including providing reasonable accommodations to individuals with a disability. Applicants with a physical or mental disability who require a reasonable accommodation for any part of the application or hiring process please email accommodations@newportacademy.com for assistance.

For more information on Equal Opportunity, please click here Equal Employment Opportunity Posters

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