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University of Rochester Medicine

Rochester, New York

Central City Concern

Portland, Oregon

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Nemours

Jacksonville, Florida

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AdventHealth

Denver, Colorado

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Nemours

Orlando, Florida

The University of Oklahoma College of Medicine

Oklahoma City, Oklahoma

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Harris Health System

Houston, Texas

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Vanderbilt Health

Nashville, Tennessee

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Nemours

Jacksonville, Florida

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Nemours

Wilmington, Delaware

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Nemours

Orlando, Florida

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Veterans Affairs, Veterans Health Administration

Temple, Texas, Texas

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Veterans Affairs, Veterans Health Administration

Chicago, Illinois, Illinois

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Veterans Affairs, Veterans Health Administration

Memphis, Tennessee, Tennessee

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Vanderbilt Health

Nashville, Tennessee

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AdventHealth

Maitland, Florida

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AdventHealth

Land O Lakes, Florida

UCSF Campus and Health

San Francisco, California

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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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