Top Managed Care Executive plans and directs all aspects of an organization's managed care function. Responsible for directing and implementing managed care systems for healthcare facilities. Being a Top Managed Care Executive requires a bachelor's degree. Typically reports to a top management. The Top Managed Care Executive manages a departmental function within a broader corporate function. Develops major goals to support broad functional objectives. Approves policies developed within various sub-functions and departments. To be a Top Managed Care Executive typically requires 8+ years of managerial experience. Comprehensive knowledge of the overall departmental function. (Copyright 2024 Salary.com)
Cabell Huntington Hospital is seeking a full-time Managed Care Financial Analyst to work alongside our Contract Management Department.
The Managed Care Financial Analyst is responsible for ensuring accuracy of third party insurance payments according to contractual and state/federal reimbursement guidelines and policy. Identifies underpayments and works with patient accounting department and third party payor to resolve/appeal. Assist in payor relations and provider contracting. Maintains contract management pricing software. Negotiates single case agreements. Assist in preparation, maintenance, and compliance of pricing transparency requirements and disclosures. Assist in various other financial analysis.