Blue Cross and Blue Shield of Illinois, Montana, N Sr Director Hospital Contracts & Reimbursement in Chicago, Illinois
BASIC FUNCTION:This position is responsible for managing and controlling network strategies, reimbursement contract negotiations, contract drafting, plan contract administration and issue resolution for 200 plan hospitals, 65 downstate PPO hospitals, 80 Medicare Select hospitals and 80 Workers Choice hospitals in Illinois. Responsible for determining reasonable cost reimbursement (MRC) and for maintaining the integrity of these contracts.
JOB REQUIREMENTS:* Bachelor Degree in Accounting or Business* 10 years experience in health care/insurance administration, hospital/health care contracting, and hospital/physician relations, including 5 years in a management capacity* Verbal and written communications skills* 5 years of contract negotiation experience either at a healthcare provider or managed care company* 10 years of hospital experience or managed care contract/reimbursement experience* 5 years systems management experience* Analytical, problem solving, quantitative, communication, prioritization, organization, and training skills* Trouble shooting experience with solving system problems* Management skills
Location: IL - Chicago
Activation Date: Monday, September 13, 2021
Expiration Date: Friday, October 1, 2021