Executive Director Managed Care & Payor

Grady Health System offers many
career paths for your professional growth. Whether you have many years of
experience or are in the early stages on your career, you can find a rewarding
position at Grady!

JOB
SUMMARY:

The Executive Director of Managed
Care and Payor Strategy
is responsible for the successful operation of the Managed Care function of the
organization. The Executive Director serves as the relationship manager with
insurance companies, governmental payors and community business partners. This
individual assures the timely and efficient negotiation, implementation and adjudication
of payor contracts in a manner that brings value to both Grady, our providers
and the payor. The Executive Director stays abreast of government and industry
trends to assure Grady is positioned to remain successful and competitive in
both the private and government payor sectors.

The Executive
Director is also responsible for strategic input and successful tactical
integration with Payor and State and Federal Government partners associated
with Medicare and Medicaid waivers. The Executive Director is also responsible
for leadership oversight of Grady provider enrollment with contracted payors as
well as coordination of provider enrollment with our education partners.

JOB
QUALIFICATIONS:

• Bachelor's
  Degree in Business or related field is required.

• Master's
  Degree in Business or related field is preferred.

• Eight
  (8) or more years job related experience in managed care, payor relations, or
  healthcare insurance is required.

• Effective
  relationship skills to maintain relationships and trust with executives, staff
  and physicians is
  required.

EOE-Females/Minorities/Protected Veterans/Individuals with
Disabilities.