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Lumexa Imaging
Lumexa Imaging
1 001 – 5 000 Xodimlar
B2BSog‘liqni saqlash
Lumexa Imaging ambulatoriya yordami va sog‘liqni saqlash tizimlari bilan hamkorlik orqali ilg‘or diagnostik tasvirlash xizmatlaridan foydalanish imkoniyatini kengaytirishga e’tibor qaratadigan tibbiyot kompaniyasidir. 2018-yilda tashkil etilgan kompaniya qo‘shma korxona markazlari ham kiradigan 13 ta shtatda 185 dan ortiq tasvirlash markazini boshqaradi. Markazlashtirilgan qabulga yozilish, qulay ambulatoriya xizmatlari va tor soha bo‘yicha ixtisoslashgan radiologlarning xulosalari orqali bemorlarni qo‘llab-quvvatlaydi. Uning Connexia xizmati teletibbiyot radiologiyasi orqali ushbu imkoniyatlarni kengaytiradi, sun’iy intellekt va zamonaviy tasvirlash uskunalari esa klinik sifat hamda operatsion samaradorlikni ta’minlashga yordam beradi. Lumexa Imaging, shuningdek, sog‘liqni saqlash tizimlari bilan hamkorlikdagi tibbiy xizmat ko‘rsatish modellarini ishlab chiqadi. Ular bemor tajribasini yaxshilash va zarur hollarda shifoxonalarning ambulatoriya tasvirlash xizmatlariga nisbatan arzonroq muqobilni taqdim etishga qaratilgan.
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Kompaniyadagi ish o‘rinlari

Senior Director, Managed Care Contracting (Illinois Remote)

Lead payer contract negotiations, reimbursement strategy, and managed care initiatives for Lumexa Imaging. Oversee legal, financial, operational, and cross-functional contracting work.

USAmerika Qo‘shma ShtatlariILIllinoysMasofaviyTo‘liq stavkaSeniorTalab Qilinadigan Til: inglizchaDirektor

Tavsif

  • Build and sustain productive relationships with payer representatives and leaders across assigned geographies and projects.
  • Partner with joint venture managed care teams and other colleagues to meet contracting and operational goals.
  • Direct the negotiation and execution of managed care payer and third-party contracts.
  • Work with internal and external legal counsel to assess and document payer contract language against departmental and regulatory standards.
  • Conduct contract language reviews and analyses as needed.
  • Provide internal guidance on payer contract language questions and requests.
  • Partner with financial analysts and business teams to prepare negotiation data and analyze claims or operational trends.
  • Support team planning for contract negotiations and renewals by evaluating historical performance and identifying opportunities.
  • Complete contracting activities for acquired facilities, new facilities, and new practices.
  • Resolve contract-related claims and operational issues with internal and external customers, Managed Care Operations, and revenue cycle teams.
  • Communicate new and revised contract terms to internal stakeholders.
  • Create and maintain departmental tracking documentation.
  • Lead special projects and complete other assigned responsibilities.

Talablar

  • Bachelor’s degree in business administration, healthcare administration, finance, law, or a related field is required.
  • A master’s degree in business administration, healthcare administration, public health, or a Juris Doctor degree is preferred.
  • At least 10 years of progressively responsible experience in managed care contracting, payer relations, or healthcare reimbursement, including extensive complex payer agreement negotiation experience.
  • At least five years of leadership experience managing teams, projects, and organizational initiatives.
  • Experience with hospitals, physician organizations, integrated delivery systems, or large multispecialty healthcare organizations is preferred.
  • Proven record of developing and implementing contracting strategies that improve reimbursement, operational performance, and organizational results.
  • Expertise in managed care contracting principles, payer reimbursement methodologies, and healthcare payment models, including fee-for-service, value-based reimbursement, and alternative payment arrangements.
  • Broad knowledge of commercial, Medicare Advantage, Medicaid managed care, and other third-party payer contracting practices.
  • Strong understanding of healthcare regulations governing managed care contracting, reimbursement, and compliance.
  • Advanced skills in contract negotiation, drafting, interpretation, and language analysis.
  • Exceptional financial and analytical ability, including evaluating reimbursement methodologies, recognizing trends, and developing data-driven negotiation strategies.
  • Demonstrated ability to lead complex negotiations and influence internal and external stakeholders toward favorable outcomes.
  • Strong strategic planning, project management, and organizational skills, with the ability to manage competing priorities and deadlines.
  • Excellent written, verbal, and presentation communication skills.
  • Demonstrated ability to build collaborative partnerships across executive leadership, operations, finance, legal, revenue cycle, and clinical teams.
  • Strong leadership, coaching, and team development capabilities, including experience cultivating a high-performing, collaborative workplace.
  • Ability to exercise sound judgment, protect confidential information, and make informed decisions in complex or sensitive circumstances.
  • Proficiency with Microsoft Office, contract management platforms, and healthcare financial and claims reporting tools.

O‘xshash ish o‘rinlari

SUSE

East Coast Solution Architect, Enterprise Linux and Kubernetes

SUSE
1 001 – 5 000 Xodimlar
H1B vizasi homiysiB2BKorxonaTexnologiya va dasturiy ta’minot
USAmerika Qo‘shma ShtatlariCTKonnektikutMAMassachusetsNJNyu-JersiNYNyu-YorkPAPensilvaniyaOfisdaTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaYechimlar muhandisi
BulutKubernetesLinux

Advise East Coast customers on SUSE’s enterprise Linux, Kubernetes, and open-source infrastructure solutions. Support technical sales with solution design, demonstrations, and proofs of concept.

Ochish