Adjunct Faculty Position-Leavenworth CampusKCKCC is an Equal Opportunity/Affirmative Action Employer and encourages applications from minorities.
Emailpwarren [at] kckcc [dot] eduFax913-288-7628
Adjunct Faculty Position: Kansas City Kansas Community College
Company: Kansas City Kansas Community College
Relevant Work Experience: Unspecified
Education Level: Other
Job Status: Full-Time, Employee
Negotiates contracts and supports the, implementation and ongoing maintenance of IPA/Faculty Practice Plan (FPP) contracts, large medical group contracts, risk contracts, as well as other contracts that are entered into from time to time that have an impact on the delivery system as well as the overall plan financial position.
Each Contract Administrator is responsible for a minimum of 10 key groups with over 4000 clinicians.
Essential Duties: Negotiate and maintain contracts with IPAs/, large medical groups and hospital based Faculty Practice Plans on behalf of Emblem Health.
Manage contract relationship and chair bi-weekly/monthly meeting with key groups; assure full understanding of Emblem policies, educate providers on use of web-portal/PEP, oversee credentialing delegation and all provider file related functions and rate implementations initiatives.
Establish and coordinate quarterly Joint Operating Committee meetings with key groups and senior Emblem leadership.
Resolve contract/claim disputes presented by key groups.
Investigate and respond to inquiries from Claims, Customer Service, Grievance and Appeals, and all other departments within Emblem.
Work closely with vendor managers to resolve key group disputes.
Identify trends within our systems and coordinate the corporate/interdepartmental steps necessary to correct root cause.
Participate in HCCI projects and assure successful implementation of corporate cost-saving initiatives to include reduction in contract rates, reduction in select fee schedules, tighter UM guidelines, etc. Recommend and implement innovative contracting strategies to maximize cost containment and innovative approaches to care, ie implementation of medical home.
Manage and implement various projects as assigned by the Director within the department.
Qualifications: Bachelors Degree in Health-Care or Business field.
Masters Degree a plus but not required.
Five years experience in Health Care Contracting.
SAU 39, Amherst, NH SOUHEGAN HIGH SCHOOL Souhegan High School is a member of the Coalition of Essential Schools and continues to use the Ten Common Principles of the Coalition of Essential Schools as one of our guiding documents to serve the 970 students of Amherst and Mont Vernon, NH. We also are members of the National School Reform Faculty (NSRF) and offer Critical Friends Groups (CFGs) as our primary professional development initiative. Our other guiding documents are the Souhegan Mission Statement, the Souhegan Six, and the Souhegan Learner Expectations. PRINCIPAL The District seeks a leader with the following: * Student centered leadership. * Well grounded in secondary curriculum and staff professional development; an advocate for high quality regular and special education programs; skilled at supervision and evaluation of faculty and staff; well organized and collaborative managerial skills; good working knowledge of budgets, contractual/legal obligations, and technology. * Excellent communication skills; accessible; well-developed collaborative skills with other educators, students, their families, and the community. The application deadline is January 4, 2010. DEAN OF FACULTY The District seeks an enthusiastic, articulate, creative, student-oriented and caring leader with the following: * Certification/License and 5 years experience/training in Administration. * Experience with supervision/evaluation; curriculum coordination; and implementation of school-wide initiatives. * Excellent communication skills; accessible; well-developed collaborative skills with other educators, students, their families, and the community. The application deadline is January 11, 2010. For position requirements and information on Souhegan including how to apply for this position, please visit www.sprise.com and www.sprise.com/shs / Please forward your information to: Dr. Mary Athey Jennings, Superintendent SAU #39, PO Box 849 Amherst, NH 03031 Email: supt@sprise.com EOE www.sprise.com .CLICK THE IMAGE TO VIEW THE AD!This listing brought to you by New Hampshire Union Leader