Jobs and Careers
WA
Director, Managed Care
Washington HospitalUnited Statesfull_timeVerifiedPosted 4 May 2026
💰 $2,147,483,647/yr
About the role
Washington Hospital Healthcare System Job Description
Job Code: 714
The Director, Managed Care Contracting, contributes to WHHS’ growth
Job Title: Director, Managed Care Contracting
Position Summary
and profitability by providing contracting expertise to existing and new
contractual relationships; and providing subject matter expertise,
guidance, and direction regarding Managed Care Contracts. This
includes coordination of commercial, Medicare Advantage, Medi-Cal
Managed Care, Value-Based, Medicare Shared Savings, and other third
party managed care contracts and Payor relation activities for
Washington Hospital, Washington Township Medical Foundation, and
DEVCO entities (surgery centers and other ancillary entities). The
Director will be responsible for overseeing administration, review, and
financial analyses of managed care contracts for the healthcare
system, performing financial reporting and financial modeling for senior
management strategic managed care decision- making, and overseeing
all Payor relations and managed care denial follow-up and resolution
activities for the health care system. In addition to performing the
essential functions listed below, may also be assigned other duties as
required.
Statement of
Reports to: Vice President & Chief Revenue Officer
Accountability
JobDescriptionTemplate Revised10/13/24
Qualifications
1. Education:
Required: Bachelor's degree (minimum ten 10 years’ experience
•
•
•
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Education
Licensure
Work Experience
Skills/computer/ specific
technical
can be substituted for formal education).
Desirable: Master's degree in health related field
2. Experience:
1. Other qualifications,
-
Minimum seven (7) years in a Managed Care Contracting
miscellaneous
capacity within a health plan or hospital; and at least the five
(5) years of experience managing and mentoring Contract
Manager or Payor Relations representatives.
Specify if qualifications are
Required or Preferred
-
Experience in an administratively responsible position with
significant intra-department work.
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Demonstrated interpersonal skills.
Demonstrated skill in working with a large variety of
people of various organizations and levels.
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-
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Knowledge of legal terminology, understanding of
governmental and legislative regulations.
Previous experience in the areas of managed
care/finance/or patient accounting.
Demonstrated ability to perform financial analysis,
including managed care contracting financial
modeling.
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Computer Skills: Financial Modeling, Windows 2000,
Excel, 2000, Work 2000, PowerPoint.
3. Skills and Abilities:
-
Must possess technical and professional skills and
knowledge of finance, patient accounting functions and
managed care.
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