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)

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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.
  • 1 Month Ago

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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...
  • 21 Days Ago

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Director of Managed Care Contracting
  • Centers Health Care
  • Bronx, NY FULL_TIME
  • Centers Health Care is looking for a Director of Managed Care Contracting. Rosponsibilities: Developing, implementating, and coordinating of managed care contracting and related activities for Centers...
  • 24 Days Ago

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Director of Managed Care
  • National Health Care
  • Valley Stream, NY FULL_TIME
  • National Health Care Associates (NHCA), provider of high-quality long-term care and short-term rehabilitation services with 35 skilled nursing facilities and 5000 employees in the Northeast U.S., is s...
  • 12 Days Ago

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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...
  • 1 Month Ago

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Director of Managed Care
  • Central Florida Health Care, Inc.
  • Winter, FL FULL_TIME
  • Title: ____Director of Managed Care________ Reports to: ____Assistant Chief Medical Officer FLSA Status: ____Exempt_________________ Personnel Supervised: ___Case Management Team Members______ POSITIO...
  • 26 Days Ago

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Chief Financial Officer - B2B EXIT & B2B CFO
  • B2B CFO
  • Silver Spring, MD
  • Seeking An Experienced CFO Are you a driven and entrepreneurial CFO with experience in helping business owners improve t...
  • 3/28/2024 12:00:00 AM

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Chief Financial Officer - B2B EXIT & B2B CFO
  • B2B CFO
  • Germantown, MD
  • Seeking An Experienced CFO Are you a driven and entrepreneurial CFO with experience in helping business owners improve t...
  • 3/28/2024 12:00:00 AM

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Finance Director
  • Sarcoma Foundation of America
  • Damascus, MD
  • The Sarcoma Foundation of America (SFA) seeks a Finance Director with strong analytical competence, exceptional numerica...
  • 3/27/2024 12:00:00 AM

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Financial Director
  • Fauquiern County Department of Human Services
  • Warrenton, VA
  • DIRECTOR OF FINANCE We are seeking a highly professional candidate for the position of Director of Finance for Fauquier ...
  • 3/27/2024 12:00:00 AM

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Senior Accountant
  • NVT Staffing
  • Chantilly, VA
  • Job Description Job Description We have an excellent client in Chantilly, VA that is looking for a Senior Accountant to ...
  • 3/27/2024 12:00:00 AM

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Director, Finance
  • National Association of Clean Water Agencies (NACWA)
  • Washington, DC
  • The National Association of Clean Water Agencies (NACWA) seeks to fill a vital role on our Finance team - Director, Fina...
  • 3/26/2024 12:00:00 AM

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CFO
  • boost Llc
  • Reston, VA
  • BOOST LLC provides enterprise level services for government contractors, providing scalable solutions in accounting/fina...
  • 3/25/2024 12:00:00 AM

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Director of Accounting/Controller
  • HealthWell Foundation
  • Germantown, MD
  • Job Purpose: The purpose of this position is to positively contribute to HealthWell’s efforts to carry out its mission. ...
  • 3/25/2024 12:00:00 AM

Income Estimation for Managed Care Finance Director jobs
$142,245 to $183,809

Career Path for Managed Care Finance Director