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University of Vermont- Family Medicine Logo
University of Vermont- Family Medicine

Burlington, Vermont

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Presbyterian Healthcare Services

Albuquerque, New Mexico

Intermountain Health

Grand Junction, Colorado

Montefiore Medical Center

Bronx, New York

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University of Maryland Department of Medicine

Baltimore, Maryland

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Keck School of Medicine of USC

Los Angeles, California

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Baptist Health Medical Group

Miami, Florida

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Forsyth Medical Center, Novant Health

Winston-Salem, North Carolina

Mass General Brigham

Salem, Massachusetts

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Indiana University School of Medicine/Riley Children's Health

Indianapolis, Indiana

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Ochsner Health

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Onvida Health

Yuma, Arizona

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Baylor Scott & White Health

Dallas, Texas

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Regional Director Managed Care Contracting
PRIMARY RESPONSIBILITIESDevelops and implements strategic and operational goals and objectives. Ensures policies and procedures are current and in compliance with applicable regulations and standards. Makes recommendations based on changes and trends in the area of managed care, reimbursement and applicable state and federal regulatory environment.Provides mechanisms to solicit feedback on payer performance, departmental needs and satisfaction with payer services in designated areas of responsibility. Ensures problems, complaints and deficiencies with payers are investigated and appropriate actions taken.Develops and evaluates departmental and payer benchmark key performance indicators and major processes. Provides reports and recommendations


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