Managed Care Finance Director jobs in Rhode Island

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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Senior Contract Manager, Managed Care
  • CharterCARE Health Partners
  • Providence, RI FULL_TIME
  • 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:

    • Extensive knowledge, experience and expertise in managed care contracting, negotiations, language, modeling analytics, reimbursement methodologies on behalf of hospitals, physicians, and ancillary providers.
    • Experience with risk based and quality / shared savings program contracting, negotiations, metrics, and methodologies.
    • Excellent quantitative, financial, and analytical skills.
    • Excellent understanding of the Revenue Cycle preferred.
    • Strong Leadership, self-motivated, and highly organized.
    • Ability to handle multiple projects and perform independently under tight deadlines with a focus of effective implementation, clear and consistent communication, and follow-up.
    • Excellent skills in Microsoft Excel, Word, and PowerPoint. 
  • 5 Days Ago

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FINANCE DIRECTOR
  • City of East Providence
  • East Providence, RI FULL_TIME
  • CITY OF EAST PROVIDENCEEMPLOYMENT OPPORTUNITY Director of Finance$135,000 plus comprehensive benefits package Job Description: Under the direction of the Mayor, the Director of Finance is responsible ...
  • 19 Days Ago

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Director of Finance
  • Town of Westerly
  • Westerly, RI FULL_TIME
  • Town of Westerly Director of Finance The Town of Westerly is looking to fill the position of Director of Finance. Under the general direction of the Town Manager, the Finance Director is responsible f...
  • 20 Days Ago

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Director, Finance
  • Inclusively
  • Smithfield, RI FULL_TIME
  • Inclusively is partnering with a Multinational Financial Services Company to hire a Director, Finance.ABOUT INCLUSIVELY:Inclusively is a digital tech platform that connects candidates with disabilitie...
  • 21 Days Ago

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Director of Finance
  • Ballys Manaement Group LLC
  • Providence, RI FULL_TIME
  • Why Bally's? Bally’s Corporation is one of the world’s leading entertainment companies, with millions of players across digital gaming platforms and traditional casino venues. Recognized for our innov...
  • Just Posted

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Director of Finance
  • Pyramid Global Hospitality
  • Kingston, RI FULL_TIME
  • Director of Finance Hotel/Resort Name The Preserve Sporting Club & Residences Posted Date 17 hours ago(12/28/2023 9:30 AM) Location : Company Name Pyramid Global Hospitality Location US-RI-North Kings...
  • 1 Day Ago

Rhode Island (/ˌroʊd -/ (listen)), officially the State of Rhode Island and Providence Plantations, is a state in the New England region of the United States. It is the smallest state in area, the seventh least populous, the second most densely populated, and it has the longest official name of any state. Rhode Island is bordered by Connecticut to the west, Massachusetts to the north and east, and the Atlantic Ocean to the south via Rhode Island Sound and Block Island Sound. It also shares a small maritime border with New York. Providence is the state capital and most populous city in Rhode Is...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$149,072 to $192,632

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