Managed Care Finance Director jobs in the United States

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)

W
Interim Finance Director, Managed Care
  • Warbird Consulting Partners
  • Atlanta, GA FULL_TIME
  • Warbird Consulting Partners actively seeks experienced candidates for an Interim Director of Finance role for a client in the Southwest. Our ideal candidate will have strong managed care experience and be responsible for directing and overseeing the financial affairs of this client.

    The Director of Finance sets the clients financial and operational goals and objectives as well as manages its relationship with affiliated entities. The interim director will lead the organizations financial planning and accounting practices, maintain financial management reporting and control systems, oversee compliance with the policies, procedures and regulations. This role is onsite in Oklahoma.

    Responsibilities include:
    • Direct and oversee all policies and procedures for the financial operations of managed care contracts.
    • Manage contracts, negotiates and set rates, and review reimbursement levels and managed care agreements to ensure that proper payment practices are utilized.
    • Manage revenue/expense reporting and control systems, report generation, forecasting models, and reconciliation procedures.
    • Monitor, report and explain variances to approved budget; address variances and present alternatives for achieving the goals.
    • Plan, provide resources and direct activities for provider financial analysis and provides analytics for strategic and operating decisions.
    • Lead contract modeling process.
    • Manage financial analysis of medical cost.
    • Manage capitation calculation and payment.
    • Provide ad-hoc analysis for senior management.
    • Other responsibilities as assigned.
    Education/Experience:
    • Bachelors degree in Business Administration, Accounting, Finance or related field
    • MBA or CPA
    • Minimum 5 years healthcare financial management experience Knowledge
    • Strong managed care finance experience required
    • Knowledge of Microsoft Excel for financial forecasting and modeling
    • Knowledge of database reporting tools to assist in preparing analysis
    Warbird participates in the Electronic Employment Eligibility Verification Program. Warbird is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, religion, national origin, age, disability, veteran status, genetic data, religion, LGBT or other legally protected status.
  • 6 Days Ago

F
Finance Clerk
  • First Managed Care Option
  • Parsippany, NJ FULL_TIME
  • PRIMARY FUNCTION• Cash application and daily deposit reports• Refund and write off processing• Scanning and filing• Perform other special projects as neededRESPONSIBILITIES• Review incoming mail and c...
  • 1 Month Ago

C
Director of Managed Care
  • Centers Health Care
  • Bronx, NY FULL_TIME
  • Centers Health Care is looking for a Director of Managed Care. Responsibilities: The Director of Managed Care will be responsible for developing, implementing, and coordinating of managed care contrac...
  • 10 Days Ago

E
Medical Assistant for a Managed Care Clinic
  • EVOLVE MANAGED CARE SOLUTIONS
  • Augusta, GA FULL_TIME
  • Medical Assistant- Managed Care/ Case Management · One (1) year related experience.· CMA certified · Strong interpersonal skills with patients and co-workers.· Proven ability to interact professionall...
  • 20 Days Ago

S
System Dir, Managed Care/Finance
  • Summa Health
  • Akron, OH FULL_TIME
  • Summa Health System is recognized as one of the region’s top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its cultu...
  • 2 Months Ago

C
Director, Managed Care Analytics
  • C Nashville Support Center
  • Brentwood, TN OTHER
  • DescriptionScionHealth is recruiting for a Director of Managed Care Analytics to join our team! Job Summary The Director of Managed Care Analytics is responsible for supporting the Vice President Mana...
  • 11 Days Ago

B
Accountant - *Remote* Full Time and Part Time
  • Beanstalk CFO Group
  • Columbus, OH
  • Job Description Job Description Manage client accounting records, post journal entries, close books, reconcile accounts,...
  • 4/15/2024 12:00:00 AM

C
Accolade, Balance Sheet Advisor I
  • Corporate One FCU
  • Columbus, OH
  • Job Description Job Description Are you passionate about finance and eager to make a meaningful impact in the credit uni...
  • 4/15/2024 12:00:00 AM

M
Assistant Corporate Controller--remote (West Coast)
  • Mason & Blair, LLC
  • Columbus, OH
  • HARD REQUREMENTS: BIG 4 CPA WITH ACCOUNTING LEADERSHIP EXPERIENCE IN PUBLICLY-TRADED COMPANY Remote role with SF bay are...
  • 4/14/2024 12:00:00 AM

D
Internal Revenue Agent (Examiner) 12 MONTH ROSTER 'AMENDED'
  • Department Of The Treasury
  • Columbus, OH
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 4/14/2024 12:00:00 AM

J
Chief Impact and Strategy Officer
  • JewishColumbus
  • Columbus, OH
  • THE ROLE: The Chief Impact & Strategy Officer works closely with the CEO and other members of the executive leadership t...
  • 4/12/2024 12:00:00 AM

N
Administrative Assistant
  • Northstar Realty
  • Columbus, OH
  • Job Description Job Description The Administrative Assistant’s main function is to assist the CEO & CFO with assigned ta...
  • 4/11/2024 12:00:00 AM

M
VP, Corporate Finance
  • Meeder Investment Management
  • Dublin, OH
  • Job Description Job Description Role Overview This position is responsible for working closely with the CFO and other se...
  • 4/11/2024 12:00:00 AM

W
Services Sales Consultant - Columbus, OH
  • World Wide Technology Holding, LLC
  • Columbus, OH
  • Why WWT? At World Wide Technology, we work together to make a new world happen. Our most important work benefits our cli...
  • 4/11/2024 12:00:00 AM

Income Estimation for Managed Care Finance Director jobs
$142,638 to $184,307

Career Path for Managed Care Finance Director