What are the responsibilities and job description for the MC Care Cntrct Administrator - Baybrook Office - Full-Time position at Baybrook Office - Full-Time - UTMB Health Careers?
The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD).
JOB SUMMARY:
Markets goods and services to organizations that can direct patients to UTMB and negotiates contracts for such goods and services. The scope is to impact patient census.
ESSENTIAL JOB FUNCTIONS:
- Presents Managed Care Programs to various payor organizations.
- Negotiates contracts with organizations that can direct patients to UTMB.
- Prepares proposals and conducts follow-up contacts. Performs contract analyses and submits recommendations for amendments, terminations, changes, etc.
- Negotiates and finalizes contract language revisions and financial provisions through telephone conversation and personal meetings with representatives of payors.
- Conducts sales related functions and assists in developing and maintaining long term relationships with organizations in order to establish referral patterns to UTMB.
- Screens potential clients.
- Updates sales presentations.
- Coordinates and provides managed care education.
- Submits strategic recommendations to enhance referrals in a managed care environment.
- Marginal or periodic functions: Assists the Assistant Vice President with projects as assigned.
- Adheres to internal controls and reporting structure established for department.
- Performs other related duties as required.
EQUIPMENT:
Standard office equipment.
WORK ENVIRONMENT:
Standard office environment. May be required to work within the confines of a prison, jail, or juvenile detention center.
Security clearance is required; pre-employment drug testing is also required.
REQUIRED EDUCATION/EXPERIENCE:
- Bachelor's degree in Business, Healthcare, or related field.
- Three (3) years of management or administrative experience in a managed care organization, academic healthcare provider, or public sector.
Salary is commensurate with years of relevant work experience.
Equal Employment Opportunity
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.