Overview
Remote
On Site
USD 103,354.00 - 153,317.00 per year
Full Time
Skills
PMP
Cost control
Information systems
Program evaluation
Regulatory reporting
Project management
Negotiations
Customer service
Quantitative research
Claims management
Vendor management
Business rules
Life insurance
Instructional design
Health care
Critical thinking
Decision-making
Microsoft Excel
Microsoft Word
Quality control
Reading comprehension
Systems analysis
Time management
Active learning
Active listening
Problem solving
Leadership
Informatics
Analytical skill
Data
Reporting
Management
Mentorship
Design
Claims
COB
Medicare
Medicaid
PMBOK
Innovation
Insurance
Policies
Legal
Creativity
Recruiting
LinkedIn
DICE
R
Mathematics
Finance
Science
Evaluation
Writing
Communication
Job Details
Sentara Health is seeking a passionate leader to join our team as Manager of Cost Containment!
This is a Full-time & 100% Remote position
**Candidates must have a current residence in one of the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine Maryland, Minnesota, Nebraska, Nevada, North Carolina, New Hampshire, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming !
Job Description Summary:
Responsibilities :
The Manager of cost Containment works with leadership to define and stratify informatics requirements enabling customers to meet strategic goals and tactical objectives. Uses knowledge of Sentara's informatics infrastructure, analytical tools, information systems, and other data stores to construct analytical models to support program evaluation, operational and clinical analyses, and reporting for responsible business units or organizations. Designs and implements analytical solutions to improve processes, measure clinical quality goals, and meet regulatory reporting and analysis requirements.
Scope of responsibilities includes:
Required Qualification :
Bachelor's Degree required.
Required Experience and Skills:
Preferred:
Project Management Professional Certification (PMP) - Certification/ - Project Management Institute (PMI)
For more than a decade, Modern Healthcare magazine has ranked Sentara Healthcare as one of the nation's top integrated healthcare systems. That's because we are dedicated to growth, innovation, and patient safety at more than 300 sites of care in Virginia and northeastern North Carolina, including 12 acute care hospitals.
Sentara Benefits
As the third-largest employer in Virginia, Sentara Health was named by Forbes Magazine as one of America's best large employers. We offer a variety of amenities to our employees, including, but not limited to:
Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For information about our employee benefits, please visit: Benefits - Sentara (sentaracareers.com)
Join our team! We are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, and growth!
Note: Sentara Healthcare offers employees comprehensive health care and retirement benefits designed with you and your family's well-being in mind. Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability, and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.
For applicants within Washington State, the following hiring range will be applied: $103,354 to $153,317 annually
keywords: Talroo-IT, Indeed, Monster, Circa, LinkedIn, #Dice, informatics, Cost Containment, Medicare, Medicaid
Works with leadership to define and stratify informatics requirements enabling customers to meet strategic goals and tactical objectives. Uses knowledge of Sentara's informatics infrastructure, analytical tools, information systems, and other data stores to construct analytical models to support program evaluation, operational and clinical analyses, and reporting for responsible business units or organizations. Designs and implements analytical solutions to improve processes, measure clinical quality goals, and meet regulatory reporting and analysis requirements. Scope of responsibilities includes: setting and managing strategic goals and tactical objectives; project management; and leadership support for customers. Oversees and directs dedicated analytical resources, providing mentoring, HR development and performance, manages vendor contracts and/or relationships to include contract negotiation. Relies on expert judgment to plan, execute and achieve goals and objectives, establishes and monitors customer service levels.\r \r Project Management experience required. Quantitative Research Design experience required.
This is a Full-time & 100% Remote position
**Candidates must have a current residence in one of the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine Maryland, Minnesota, Nebraska, Nevada, North Carolina, New Hampshire, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming !
Job Description Summary:
Responsibilities :
The Manager of cost Containment works with leadership to define and stratify informatics requirements enabling customers to meet strategic goals and tactical objectives. Uses knowledge of Sentara's informatics infrastructure, analytical tools, information systems, and other data stores to construct analytical models to support program evaluation, operational and clinical analyses, and reporting for responsible business units or organizations. Designs and implements analytical solutions to improve processes, measure clinical quality goals, and meet regulatory reporting and analysis requirements.
Scope of responsibilities includes:
- setting and managing strategic goals and tactical objectives; project management; and leadership support for customers.
- Oversees and directs dedicated analytical resources, providing mentoring, HR development and performance, manages vendor contracts and/or relationships to include contract negotiation.
- Relies on expert judgment to plan, execute and achieve goals and objectives, establishes and monitors customer service levels.
Required Qualification :
Bachelor's Degree required.
Required Experience and Skills:
- 5 years' experience required in Clinical/Business Sector
- 5 years of experience in Health
- Project Management experience required.
- Quantitative Research Design experience required.
- Experience in management and knowledge of Claims Operations and Payment Integrity to include vendor management.
- Understanding of business rules associated with claims payment accuracy, COB and Medicare/ Medicaid required.
Preferred:
Project Management Professional Certification (PMP) - Certification/ - Project Management Institute (PMI)
For more than a decade, Modern Healthcare magazine has ranked Sentara Healthcare as one of the nation's top integrated healthcare systems. That's because we are dedicated to growth, innovation, and patient safety at more than 300 sites of care in Virginia and northeastern North Carolina, including 12 acute care hospitals.
Sentara Benefits
As the third-largest employer in Virginia, Sentara Health was named by Forbes Magazine as one of America's best large employers. We offer a variety of amenities to our employees, including, but not limited to:
- Medical, Dental, and Vision Insurance
- Paid Annual Leave, Sick Leave
- Flexible Spending Accounts
- Retirement funds with matching contribution
- Supplemental insurance policies, including legal, Life Insurance and AD&D among others
- Work Perks program including discounted movie and theme park tickets among other great deals
- Opportunities for further advancement within our organization
Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For information about our employee benefits, please visit: Benefits - Sentara (sentaracareers.com)
Join our team! We are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, and growth!
Note: Sentara Healthcare offers employees comprehensive health care and retirement benefits designed with you and your family's well-being in mind. Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability, and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.
For applicants within Washington State, the following hiring range will be applied: $103,354 to $153,317 annually
keywords: Talroo-IT, Indeed, Monster, Circa, LinkedIn, #Dice, informatics, Cost Containment, Medicare, Medicaid
Works with leadership to define and stratify informatics requirements enabling customers to meet strategic goals and tactical objectives. Uses knowledge of Sentara's informatics infrastructure, analytical tools, information systems, and other data stores to construct analytical models to support program evaluation, operational and clinical analyses, and reporting for responsible business units or organizations. Designs and implements analytical solutions to improve processes, measure clinical quality goals, and meet regulatory reporting and analysis requirements. Scope of responsibilities includes: setting and managing strategic goals and tactical objectives; project management; and leadership support for customers. Oversees and directs dedicated analytical resources, providing mentoring, HR development and performance, manages vendor contracts and/or relationships to include contract negotiation. Relies on expert judgment to plan, execute and achieve goals and objectives, establishes and monitors customer service levels.\r \r Project Management experience required. Quantitative Research Design experience required.
- Project Management Professional Certification (PMP) - Certification - Project Management Institute (PMI)
- Bachelor's Level Degree
- Clinical/Business Sectors 5 years
- Healthcare 5 years
- Coordination
- Critical Thinking
- Judgment and Decision Making
- Leadership
- Learning Strategies
- Mathematics
- Mgmt of Financial Resources
- Mgmt of Material Resources
- Mgmt of Staff Resources
- Microsoft Excel
- Microsoft Word
- Monitoring
- Persuasion
- Project Management
- Quality Control Analysis
- Reading Comprehension
- Science
- Service Orientation
- Social Perceptiveness
- Speaking
- Systems Analysis
- Systems Evaluation
- Technology/Computer
- Time Management
- Troubleshooting
- Writing
- Active Learning
- Active Listening
- Communication
- Complex Problem Solving