Summary:

The Director Managed Care is responsible for enhancing and maintaining managed care operations between the CHRISTUS providers (Acute Care Hospitals, Physicians and Ancillary providers) and managed care payers, including Medicaid and Medicare managed care plans. Additionally, this position is responsible for negotiating managed care contacts on behalf of a Region. This position is accountable to work with corporate and regional staff to ensure the accurate implementation, administration and ongoing monitoring of managed care contracts and corresponding processes and procedures at the facility and System level. This position will lead or participate as part of the System negotiating team for all state level contracts. A high degree of professionalism is required due to the interaction with both internal and external (health plans/payers) contacts.

Responsibilities: