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)
Summary:The Senior Contract Manager, Contract Manager is responsible for the implementation and facilitation of managed care contracts, contract compliance, and related activities for CharterCARE Health Partner System under the direction of the Senior Director, Managed Care Operations and Payer Relation.
Education: Bachelor’s degree in health care administration or related field; Master’s Degree preferred.
Experience: A minimum of 7 years’ of managed care contracting for multi-hospital system and or health plan(s) and reimbursement analysis in either a provider or payer setting required. Experience with risk and value-based arrangements.
Skills and Abilities: