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Englewood Cliffs, NJ
Manage contracting, sourcing and procurement functions in Supply Chain. Responsible for preparing, negotiating, and reviewing company contracts/RFPs, including sales, purchases, and business partnerships. Leads a groups of Buyers. Participates and can lead Value Analysis committee(s) leading to improved clinical outcomes while improving financials. Meets and establishes key stakeholder relationships. Uses best in class approaches and uses KPIs to drive improvements and optimization in the department. Has managerial responsibilities. Additional responsibilities apply. This is an in-person position. Must have experience negotiating with vendors.
Strong negotiation and contracting experience. Proven 3-5 year track record. Analytical and creative thinking. Strong communication skills. Knowledge of ERP systems; Infor/Lawson or PeopleSoft is a plus. 2-3 years in healthcare is highly desired. Knowledge of Microsoft Office Suite Education
Bachelor’s degree in Business Administration or a related field preferred
Director of Managed Care
Englewood Cliffs, NJ
Under the general direction and leadership of the Vice President for Finance; plans, organizes and directs the operational functions of the Medical Center as they relate to managed care. Develops, interprets and implements policies and procedures to create and maintain an effective managed care program with maximum reimbursement rates. This position carries primary administrative responsibilities for the managed care contracting efforts of the Medical Center as well as other corporate entities as needed. Demonstrates the Standards for Service Excellence, so that these standards represent minimum accepted behavior. Plan, direct and coordinate the operations of the Managed Care Program. Manage staff for optimum performance. This is an in-person position. Must have experience in negotiation and management of managed care contracts.
The ideal candidate will meet the following requirements and competencies. Three (3) to five (5) years’ experience in healthcare, knowledge of payer/insurance Company practices, as well as knowledge of the hospital environment. Experience in the negotiation and management of managed care contracts. Knowledge of state and regulatory HMO guidelines. Demonstrated proficiency in the use of a personal computer (windows environment) including but not limited to Word, Excel, Power Point, and Access. Must have excellent interpersonal skills and be capable of working with all levels of Medical Center and Medical Staff. Must exhibit relationship skills with contracted partners. Must be able to act as a team player, working in concert with other members of administration and the Medical Staff. Must possess excellent written, verbal, analytical and communication skills. Must be highly organized and capable of performing multiple tasks simultaneously.
Education Requirements: Bachelor’s Degree required
Revenue Integrity Analyst
The Valley Health System
Major component of the Hospital’s/Physician’s Revenue Cycle Team, which strives to enhance processes related to the Hospital’s/Physician’s Charge Description Master, encouraging an atmosphere of data integrity and billing compliance. The Hospitals’/Physicians’ Charge Master consists of line item pricing and coding for individual patient bills. The focus of this position is on the Revenue Cycle as a whole, incorporating the impact of registration, federal regulation, medical necessity and payment from both governmental and private payers. In addition, this position evaluates and develops tools to utilized by management to monitor revenues, expenses and statistics. The position is highly visible, working closely with department/office directors and managers to evaluate complex Medicare and system interface rules for coverage and billing. Line item charging (and its related coding) is the foundation of the billing system.
Qualifications & Education:
Bachelors’ degree in Finance/Hospital Administration preferred. Minimum of two to three years’ experience in the healthcare field preferred. Must possess exceptional analytical, communication and interpersonal skills to communicate effectively with all levels of management. Coding skills to include in depth knowledge of CPT, HCPCS, ICD-10 and understanding of regulatory issues. Ability to integrate the financial, clinical and coding processes to improve compliance and maximize reimbursement. Ability to take initiative by identifying problems, conceptualizing resolutions to the problems, and implementing change. Good personal computer skills including a working knowledge of Word and Excel. Demonstrated ability to exercise prudent judgment.
Director Budget & Reimbursement & Decision Support
The Director manages the daily operations of the Budget Reimbursement Decision Support Department. Ensures that appropriate fiscal controls are in place and in alignment with all Capital Health procedures and practices. Oversees Financial Analysts and Decision Support Analysts. Responsible for the coordination, preparation and reporting of the financial, statistical, and capital budgets. Analyzes past and present financial operations. Prepares forecasts for future revenues and expenditures as part of the budget process. Establishes processes and maintains oversight of all Federal and State cost report filings and other required filings in order to ensure that CH is compliant with its reporting obligations. Performs routine and periodic analyses to help facilitate the financial planning process for strategic initiatives. Manages all financial and statistical data requests throughout the organization for proper delegation and source data validation.
- Bachelor’s degree in accounting/finance.
- Five or more years experience in healthcare financial accounting and reporting.
- Possesses excellent organizational skills and verbal and written communication skills. Ability to effectively manage multiple projects simultaneously and ability to respond quickly in a fast paced environment.
- Mastery of advanced Excel a must, including v-lookup, IF formulas, pivot tables, etc. Proficient in Microsoft Suite, including Excel, Word and PowerPoint.
- Ability to multi-task using organizational skills to manage multiple ongoing projects.