DenverRecruiter Since 2001
the smart solution for Denver jobs

Managed Care Resource

Company: Ensign Services
Location: Denver
Posted on: February 22, 2021

Job Description:

Ensign Services, Inc. is seeking a Managed Care Consultant. We currently have opportunities in Northern California and portions of Southern California. Ideal caniddates will reside in the Denver Colorado area and be willing to travel 75% of the time.About the OpportunityThe Managed Care Consultant supports the Skilled Nursing Facility leaders in managed care contracting and revenue enhancement strategies for all healthcare payers and preparation for changes in the healthcare industry. The Consultant will provide guidance regarding development of managed care relationships and rate negotiation, ensuring timeliness and rate appropriateness.Additionally, the Consultant will negotiate contracts for new locations, assist with ensuring that contracts are updated for new services and help with contract cancellations, denials and appeals.About the CompanyEnsign Services, Inc. currently serves 300 health care operations that employ over 36,000 employees across 17 states. These operations have no corporate headquarters or traditional management hierarchy. Instead, they operate independently with support from the "Service Center" - a team of accounting, legal, human resources, benefits, compliance, payroll, construction, training and information technology resources. Service Center personnel are dedicated subject matter consultants who guide and advise field leaders. This structure allows on-site leaders and caregivers to focus on day-to-day issues in their locations.What sets Ensign Services apart from other companies is the quality of our most valuable resource - our people. We take our core values of Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership (CAPLICO) seriously and strive to provide a work experience that proves it!Total RewardsWe are committed to providing a competitive Total Rewards Package that meets our employees' needs.Primary Duties* Establish, implement and evaluate the strategic plan(s) that will ensure each local operation the ability to optimize financial performance through rates and increased census. * Analyzing historical and current data trends, based on trends and analysis provide detailed operational instruction to individual facilities. * Assist in analysis and coordination of amendments, reimbursement, and language changes. * Engage in complex levels of contract development and negotiation, including risk agreements using utilization, claims and market data with health plans and direct service agreements with physicians, physician organizations and hospitals and ancillary providers. * Identify, develop and maintain an effective relationship with contracted health plans and managed care regulatory agencies. * Monitor industry changes, trends and events to proactively identify opportunities to increase market penetration and performance improvement. * Strategizes for facility census growth and retention. * Teach, Train and Instruct facility level personnel on how to operationalize the contract. * Interact with facility personnel on utilization, clinical results and managed care census. Required Skills* Knowledge of managed care contracting language, requirements, and methods to support the development and maintenance of contract compliance, contract language review and contract analysis. * Strong analytical mind, with problem solving skills, an aptitude for accuracy, and attention to detail. * Must be knowledgeable about the managed care environment; including capitation, PPO, HMO, IPA, ACO and POS. * Knowledge of CPT-4, HCPCS, Revenue and ICD coding. * Expert in Skilled Nursing Managed care plans. * Experience in successful operationalizing managed care contracts in the skilled nursing environment. * Present in facilities on a weekly basis. Desired Qualifications--- Ideal location would be somewhere in the Denver-metro area, but may be open to the right candidate working remotely.--- Preference for bachelor's degree in business administration, management or health care administration.--- Minimum 5 years' experience in AR and/or Managed Care contracting.

Keywords: Ensign Services, Denver , Managed Care Resource, Other , Denver, Colorado

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


IT Contract Administrator (W2 candidates)
Description: Company DescriptionClientSolv Technologies is an IT solution firm with over a decade of experience serving Fortune 1000 companies, public sector and small to medium sized companies. ClientSolv Technologies (more...)
Company: ClientSolv Inc.
Location: Parker
Posted on: 02/25/2021

Spanish Language Tech 3, Video Operations
Description: Job SummaryResponsible for the end-to-end of lifecycle of content via the video and IP asset delivery platform and ensuring a world-class level of service. Reviews, edits and processes digital video assets, (more...)
Company: Comcast
Location: Littleton
Posted on: 02/25/2021

Engineer 1, Engineering Operations
Description: Job SummaryResponsible for participating in project teams, researching technical topics related to Company operations, new product implementation, assisting with existing products and services and the (more...)
Company: Comcast
Location: Littleton
Posted on: 02/25/2021


Telemarketing
Description: We're currently seeking work from home customer service, appointment setting, telemarketing and data entry representatives. You're primary responsibility is to give specialized guidance
Company: Atona
Location: Parker
Posted on: 02/25/2021

Systems Engineer III - CPE Operations
Description: JOB SCOPE br br Responsible for assisting design, development, and implementation of enterprise-wide customer premises equipment CPE activation, provisioning, and operations platforms applications (more...)
Company: SPECTRUM
Location: Commerce City
Posted on: 02/25/2021

List your Garage or Parking Space - $300/mo - Less than Part Time
Description: Neighbor Parking Storage Host Rent out your parking space or your garage and earn 4,000 / year We are looking for side hustlers and passive income lovers to join Neighbor as independent hostsNeighbor (more...)
Company: Neighbor.com
Location: Parker
Posted on: 02/25/2021

Neighbor Host - Earn $300/mo by Listing Your Space for Storage
Description: Neighbor Parking Storage Host Rent out your parking space or your garage and earn 4,000 / year We are looking for side hustlers and passive income lovers to join Neighbor as independent hostsNeighbor (more...)
Company: Neighbor.com
Location: Parker
Posted on: 02/25/2021

Part Time - List your Garage or Parking Space - $300/mo
Description: Neighbor Parking Storage Host Rent out your parking space or your garage and earn 4,000 / year We are looking for side hustlers and passive income lovers to join Neighbor as independent hostsNeighbor (more...)
Company: Neighbor.com
Location: Littleton
Posted on: 02/25/2021

Line Cook
Description: You've got the skill, We've got the GRILL br br The Line Cook at LongHorn: li Prepares
Company: Longhorn Steakhouse
Location: Littleton
Posted on: 02/25/2021

Customer Specialist AD
Description: 6010 - Parker - 18220 Ponderosa Dr, Parker, Colorado, 80134CarMax, the way your career should be General Summary: Under limited supervision of the Business Office Manager, the Customer Specialist- Alternative (more...)
Company: CarMax
Location: Parker
Posted on: 02/25/2021

Log In or Create An Account

Get the latest Colorado jobs by following @recnetCO on Twitter!

Denver RSS job feeds