Post Acute Continuum of Care Director in Redmond, WA at Ensign Services

Date Posted: 7/13/2020

Job Snapshot

Job Description

Director, Post-Acute Partnerships and Managed Care Contracting

Pennant Healthcare is a progressive subsidiary of Ensign Services, Inc., operating as a portfolio of Skilled Nursing Facilities across the state of Washington and Reno, NV.  Our unique operational and organization structure offers exceptional opportunities for innovative and entrepreneurial healthcare partners. 

The role of Director, Post-Acute Partnerships and Managed Care Contracting provides support and champions hospital and managed care relationships in order to improve the patient experience through quality improvement, coordination of continuum services and partnerships within the healthcare community.

Primary Areas of Focus and Responsibility:

  • Forge and enhance strategic partnerships and continuum relationships to improve quality of care and continuum collaboration
  • Align and integrate clinical, programmatic, quality, and value-based initiatives
  • Develop and implement robust business, contractual rates (Managed Care, ACO, VBP), and census growth plans
  • Advance and elevate clinical, cultural, and operational outcomes through development and facilitation of transitional care, readmission reduction, and continuum-based initiatives
  • Engage in complex levels of contract development and negotiation, including risk agreements using utilization, claims and market data with health plans and direct service agreements with physicians, physician organizations and hospitals and ancillary providers
  • Execute and operationalize ACO, Bundled Payment, Alternative payment, narrow network, and innovative reimbursement models in collaboration with Facility leadership
  • Manage complex and high-profile health plan negotiations. Actively draft and negotiate contracts in the health care operations and health care plan functional areas
  • Teach, train and instruct facility level personnel on growth and alignment initiatives
  • Work collaboratively with the PACC and Managed Care Resource Teams

Required Skills/Experience:

  • Executive-level Healthcare leadership and management experience required (Acute, Post-Acute, Physician/Provider Group, Payer, etc.)
  • Knowledge of managed care contracting language, requirements, and methods to support the development and maintenance of contract compliance, contract language review and contract analysis.
  • Must be knowledgeable about the managed care environment; including Alternative payment models, Value-Based Initiatives and programs, capitation as well as experience with lines of business including Medicare Advantage, Commercial, Managed Medicaid and Dual programs
  • Knowledge of CPT-4, HCPCS, Revenue and ICD coding.
  • Expert in Alternative Payment Models, Value-Based Initiatives and Programs, etc. 
  • Ability to be flexible, be readily adaptable, and work in a rapidly and constantly changing environment.
  • Microsoft Excel and Data Analytic expertise
  • Willing to travel up to 30% of the time; including WA and NV

Our Ensign affiliated team members embrace a unique operational structure and organizational culture in which highly motivated, entrepreneurial, and opportunistic individuals thrive.  We endeavor to provide an “Ensign Experience” to those we have the privilege to serve, care for, and interact. The core values and cultural tenets that we strive to live each day, and that we seek in others, are summarized by the word “CAPLICO”:

Customer Second
Accountability
Passion for Learning
Love One Another
Intelligent Risk-Taking
Celebration 
Ownership

Total Rewards:

We are committed to providing a competitive Total Rewards Package that meets our employees’ needs. From a choice of medical, dental and vision plans to retirement savings opportunities through a 401(k), company match and various other features, we offer a comprehensive benefits package. We believe in great work and we celebrate our employees’ efforts and accomplishments both locally and company-wide, recognizing people daily through our Moments of Truth Program. In addition to recognition we believe in supporting our employee’s professional growth and development. We provide employees a wide range of free e-courses through our Learning Management System as well as training sessions and seminars.

The employer for this position is stated in the job posting. Ensign Services, Inc. provides recruiting services for operations in the skilled nursing, assisted living, home health and hospice industries.

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