The Director, Regional Managed Care Operations, is responsible for negotiating local/regional Managed Care agreements with applicable health plans such as Blue Cross Blue Shield MI, Priority Health, HAP, McLaren, new MA plan, and medical groups. Developing and maintaining strong relationships with the personnel at the regional/local health plans is very important to Tenet�s success. The person in this position is also responsible handling all of the ongoing contract operational aspects of the job in terms of interfacing with hospital CEOs, CFOs, CSOs, and other hospital personnel, as well as regional leadership and home office personnel. The Director also works closely with Conifer personnel, Managed Care Legal and others to secure appropriate payment under our revenue cycle operational activities and leading settlement efforts on old, unpaid claims that need to be closed-out. Finally, the Director is responsible for supporting managed care for CINS and DCEs which market providers participate in.

***Although this is a remote opportunity, you must be available for onsite meetings with the market, and therefore, must reside in the Detroit, MI area. ***

• 7+ years of Managed Care experience
• Bachelorâ��s degree with Masters or other advanced degree preferred
• Strong organizational and communication skills
• Strong relationships with people in the industry

Tenet Healthcare/USPI complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

Employment practices will not be influenced or affected by an applicant�s or employee�s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.