At ChristianaCare, we serve as our neighbors as respectful, expert, caring partners in their health. We do this by creating innovative, effective, affordable systems of care that our neighbors value. Are you an expert in cultivating relationships with payors, both current and prospective; understanding the interrelationships and competitive landscape of the payors in markets; and supporting strategic positioning for quality-based contracting than this is the opportunity you have been seeking!

ChristianaCare Benefits:

Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and phenomenal discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets, etc.

We also provide tuition assistance for degreed programs. Our medical/dental/vision benefits are available to our caregivers on their first day of employment! And we offer two different mechanisms toward planning for your retirement, a 403(b) and a defined contribution plan.

As a member of our Managed Care Contracting team you will be responsible for providing contracting services, support and representation to managed care payors for all enterprise-wide entities, assuring contracts and agreements are processed in accordance with the corporate integrity agreement, etc.

The successful candidate is responsible for:

• Responsible for negotiations and contractual relationships with existing Behavioral Health Payers, as well as expanding these agreements and relationships into PA and MD.
• Collaborating with Dr Directors regarding contractual relationships with PPO and targeted products for specific service lines and facilitating growth of fee for service patient volumes and revenues.
• Collaborating with the Manager to evaluate draft contracts in compliance with company templates, reimbursement structure standards, and internal operational and clinical structures.
• Monitoring successful implementation of all third-party contractual provisions and rates and secure confirmation from Revenue Cycle and Operating units.

Education and experience requirements:

• Bachelor's degree strongly preferred in Finance, Economics, Healthcare or Business related.
• Minimum of five (5) years of provider-based reimbursement experience and/or payer-based reimbursement and contracting experience through managed care reimbursement review/management/consulting or population health management required.
• Understanding of provider contracting and various reimbursement methodologies is required.
• Familiarity with Hospital, physician, ancillary and other revenue cycle types of reimbursement.

ChristianaCare is one of the country's most multidimensional health systems, centered on improving health outcomes, making high-quality care more accessible and lowering health care costs. Christiana Care includes an extensive network of outpatient services, home health care, medical aid units, three hospitals (1,300 beds), a Level I trauma center and regional centers of excellence in heart and vascular care, cancer care and women's health.

Working for Christiana Care offers the best of urban and suburban living with multiple housing options, excellent restaurants and entertainment venues, quality schools and a short driving distance to popular Delaware and New Jersey beaches. The location provides easy access to Washington, DC, Philadelphia and New York City - all within a short drive or train ride from Newark, DE.

EEO Statement: Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.

UPDATE: ChristianaCare is committed to prioritizing the health and safety of our patients and caregivers. As we continue to meet the needs of our caregivers and our community through the COVID-19 pandemic, our commitment to health and safety requires that we take new steps to ensure a safe environment for medical care for our patients and a workplace that avoids preventable harm for our caregivers. For this reason, vaccination for COVID-19 is required for all caregivers at ChristianaCare and is considered a safety standard that is job-related and consistent with business necessity for all caregivers.