Description
General Summary of Position
Serves as a link between the Washington Hospital Center (WHC-PHO), the MedStar-Managed Care Division, and the managed care companies in order to develop and maintain beneficial managed care relationships between the WHC-PHO members (employed and community-based physicians) and the health plans, assuring that membership is able to work successfully within this managed care environment. Maintains and coordinates member activities, resources and communication modalities including the managed care handbook, updates, and educational programs.
Primary Duties and Responsibilities
Minimum Qualifications
Education
- Bachelor's degree in healthcare field required
Experience
- Less than 1 year 2 years progressive experience in a managed care setting required and
- Provider and payer experience and direct experience in working with the health plan payers to identify and implement administrative and operational managed care requirements in the physician provider setting preferred and
Licenses and Certifications
- No special certification, registration or licensure required
Knowledge, Skills, and Abilities
- Ability to understand, interpret, document, and conduct training sessions on managed care methods, guides, policies and procedures.
- Ability to work independently on ongoing projects and assignments, and as part of a team.
- Effective time management skills.
- Ability to meet frequent deliverable schedule for work products while maintaining the flexibility to handle daily issues/priorities that arise.
- Excellent verbal and written communication skills.
- Proficiency in Excel required.
- Web-site administration skills/aptitude required.
Why MedStar Health?
At MedStar Health, we understand that our ability to treat others well begins with how we treat each other. We work hard to foster an inclusive and positive environment where our associates feel valued, connected, and empowered. We live up to this promise through:
- Strong emphasis on teamwork - our associates feel connected to each other and our mission as an organization. In return, our effective team environment generates positive patient outcomes and high associate satisfaction ratings that exceed the national benchmark.
- Strategic focus on equity, inclusion, & diversity - we are committed to equity for all people and communities. We continue to build a diverse and inclusive workplace where people feel a sense of belonging and the ability to contribute to equitable care delivery and improved community health outcomes at all levels of the organization.
- Comprehensive total rewards package - including competitive pay, generous paid time off, great health and wellness benefits, retirement savings, education assistance, and so much more.
- More career opportunities closer to home - as the largest healthcare provider in the Baltimore-Washington, D.C. region, there are countless opportunities to grow your career and fulfill your aspirations.
About MedStar Health
MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It's how we treat people.
MedStar Health is an Equal Opportunity (EO) Employer and assures equal opportunity for all applicants and employees. We hire people to work in different locations, and we comply with the federal, state and local laws governing each of those locations. MedStar Health makes all decisions regarding employment, including for example, hiring, transfer, promotion, compensation, benefit eligibility, discipline, and discharge without regard to any protected status, including race, color, creed, religion, national origin, citizenship status, sex, age, disability, veteran status, marital status, sexual orientation, gender identity or expression, political affiliations, or any other characteristic protected by federal, state or local EO laws. If you receive an offer of employment, it is MedStar Health's policy to hire its employees on an at-will basis, which means you or MedStar Health may terminate this relationship at any time, for any reason.
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