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Chicago, Illinois

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Philadelphia, Pennsylvania

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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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