Managed Care Finance Director jobs in Ohio

Managed Care Finance Director directs and oversees all policies and procedures for the financial and data operations of managed care contracts. Manages contracts, negotiates and sets rates, and reviews reimbursement levels and managed care agreements to ensure that proper payment practices are utilized. Being a Managed Care Finance Director implements processes that encourage and inform the organization how to increase levels of reimbursements. Requires a bachelor's degree. Additionally, Managed Care Finance Director typically reports to top management. The Managed Care Finance Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Managed Care Finance Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)

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Corporate Director of Managed Care and Contracting
  • CommuniCare Family of Companies
  • Blue, OH FULL_TIME
  • Corporate Director of Managed Care and Contracting

    Since 1984, the CommuniCare Family of Companies has been committed to delivering exceptional person-centered care as a national leader in post-acute care for those that are chronically ill or have complex conditions.

    Our more than 150 skilled nursing, assisted living, independent living, behavioral health and long-term care facilities deliver sophisticated and transformative care to nearly 16,000 residents and patients at any given time. CommuniCare employs more than 19,000 employees across seven states (Ohio, Indiana, Maryland, Virginia, West Virginia, Pennsylvania, Missouri).

    CommuniCare is looking to fill the key position of Corporate Director of Managed Care to oversee strategy and development for all Managed Care Services and Contracting for the LTC and New Vista lines of business. The Corporate Director is responsible for full managed care contract life-cycle support, including new business and revenue development through continued clinical integration and market expansion.

    Duties will include the development and implementation of a strategic plan with regard to these payors, overseeing and leveraging existing relationships, and identifying the objectives necessary for the company to succeed as health care systems change. 

    Desired Skills and Experience:

    • The qualified candidate will have extensive knowledge and relevant work experience in the Managed Care/insurance sectors including network planning/development, contract negotiations, etc.
    • Must have presentation experience, excellent written and verbal communication skills, and ability to supervise and organize staff functions. Five (5) years of management experience in related position is preferred. Experience with Long Term Care contracting is a must.
    • Proficient knowledge of medical contracting methodologies and claims pricing/reimbursement strategies 
    • Independent thinker and decision maker 
    • Strong analytical and problem-solving skills with attention to detail 
    • Excellent verbal and written communication 
    • Strategic business partner 
    • Proficient computer skills and knowledge of Microsoft Office specifically Excel 
    • Ability to prioritize and manage multiple projects 
    • Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction
    • This positon reports to the VP of Revenue Cycle

    Benefits

    As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer full time employees a menu of benefit options from life and disability plans to medical, dental, and vision coverage from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts.

    About Us

    A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another.

  • 30 Days Ago

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Bookeeper /Managed Care Coordinator
  • LIBERTY HEALTH CARE CENTER
  • Youngstown, OH FULL_TIME
  • Liberty Health Care Center is accepting applications for a hybrid role: Bookeeper/Managed Care Coordinator to work with our team of dedicated health care professionals! SUMMARY OF DUTIES: Works with t...
  • 1 Day Ago

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Associate Counsel - Managed Care
  • Cleveland Clinic
  • Beachwood, OH FULL_TIME
  • Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At C...
  • 22 Days Ago

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Managed Care Nurse Staff
  • Western & Southern Financial Group
  • CINCINNATI, OH FULL_TIME
  • Overview Summary of Responsibilities: Provides concurrent and retrospective utilization reviews, large case management, disability case management and other programs to improve the quality of medical ...
  • 4 Days Ago

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Managed Care Biller
  • CommuniCare Family of Companies
  • Cincinnati, OH FULL_TIME
  • Managed Care BillerDue to Company growth, CommuniCare Health Services is currently recruiting a Managed Care Biller for our Corporate Managed Care Billing Department.PURPOSE/BELIEF STATEMENTThe positi...
  • 8 Days Ago

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Managed Care Biller
  • CommuniCare Family of Companies
  • Cincinnati, OH FULL_TIME
  • Managed Care BillerDue to Company growth, CommuniCare Health Services is currently recruiting a Managed Care Biller for our Corporate Managed Care Billing Department.PURPOSE/BELIEF STATEMENTThe positi...
  • 8 Days Ago

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CFO/Controller
  • Crunch
  • Woodbridge, NJ
  • Fitness Holdings Northeast LLC is looking for a CFO/Controller to join our corporate team. We are a franchise of CRUNCH ...
  • 4/26/2024 12:00:00 AM

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Chief Finance Officer (CFO)
  • Tandym Group
  • New York, NY
  • A Federally Qualified Health Center (FQHC) in New York is currently seeking an experienced Finance professional to join ...
  • 4/25/2024 12:00:00 AM

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Chief Finance Officer (Healthcare)
  • Callen-Lorde Community Health Center
  • New York, NY
  • Job Description Job Description Are you ready to make a profound impact on the world of LGBTQ+ healthcare and lead a dyn...
  • 4/25/2024 12:00:00 AM

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VP, Chief Finance Officer
  • WVU Medicine Thomas Hospitals
  • South Charleston, WV
  • Provides executive management support in planning, organizing and directing fiscal related functions to include financia...
  • 4/24/2024 12:00:00 AM

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Foundation Chief Finance Officer
  • University of Idaho
  • Moscow, ID
  • Position Details Position Information Internal Posting? Posting Number SP004394P Position Title Foundation Chief Finance...
  • 4/24/2024 12:00:00 AM

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CFO / controller
  • FBF
  • Antler, ND
  • Job Description Job Description We are seeking a CFO / Controller to lead our company! You will help develop and execute...
  • 4/22/2024 12:00:00 AM

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Director of Finance/CFO
  • Chatham Emergency Services
  • Savannah, GA
  • Chatham Emergency Services has an opening for the Finance Manager position. The finance director must act with integrity...
  • 4/22/2024 12:00:00 AM

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Chief Finance Officer (CFO)
  • Tandym Group
  • New York, NY
  • A Federally Qualified Health Center (FQHC) in New York is currently seeking an experienced Finance professional to join ...
  • 4/22/2024 12:00:00 AM

Ohio /oʊˈhaɪoʊ/ (listen) is a Midwestern state in the Great Lakes region of the United States. Of the fifty states, it is the 34th largest by area, the seventh most populous, and the tenth most densely populated. The state's capital and largest city is Columbus. The state takes its name from the Ohio River, whose name in turn originated from the Seneca word ohiːyo', meaning "good river", "great river" or "large creek". Partitioned from the Northwest Territory, Ohio was the 17th state admitted to the Union on March 1, 1803, and the first under the Northwest Ordinance. Ohio is historically know...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$139,500 to $180,252

Managed Care Finance Director in Waterloo, IA
Today, the Department of Health Care Finance (DHCF) announced that the Office of Contracting and Procurement (OCP) submitted to the Council of the District of Columbia a notice of intent to award three contracts for the District’s Medicaid managed care program.
January 27, 2020
Managed Care Finance Director in Biloxi, MS
Our executives lead the strategies and operations that help us deliver quality care across our network.
January 30, 2020
Managed Care Finance Director in Reno, NV
Facey Medical Group is a multi-specialty medical group with over 160 physicians providing care to the growing population in the North & East regions of Los Angeles & Ventura Counties.
December 30, 2019
Able to travel to all regional sites in a consistent, timely and efficient manner; holds effective meetings and leads workgroups, assigns and takes over deliverables, reports to and coordinates with the regional director and manager on the priorities and workload management; strives to exceed expectations.
January 24, 2020