Managed Care Finance Director jobs in Gastonia, NC

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 2025 Salary.com)

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Managed Care Analyst / Managed Care / Full Time
  • Catawba Valley Medical Center
  • Hickory, NC FULL_TIME
  • Summary:
    Position is responsible for working with various internal and external customers regarding contract payor terms, policy/procedure updates, payor administration, variances/contract modifications, pricing updates, as well as anything that has an operational impact on the organization. Strong analytical skills needed to compile and analyze data including: managed care denials/underpayment/ overpayment identification and resolution, contract modeling and evaluation, filing appeals as well as aiding in decision support reporting. This position is responsible for day-to-day oversight of the contract compliance, payor relationships, co-ordination of payer onsite meetings and cross training with Provider Enrollment Specialist for credentialing and re-credentialing duties. Must work within contract language and have an understanding of healthcare reimbursement methodologies and language. Majority of time will be spent working within Microsoft Excel, performing data analysis, tracking, trending and research. Will also work with Contract Modeling software.
    Required Education:
    Associate’s degree from an accredited college or a minimum of four years’ experience with managed care contracting or payor relations.
    Required Work Experience:
    One year of applicable experience, if candidate has no experience they must have completed a successful healthcare or finance oriented internship with good references or an extensive managed care or an analytical background. Job Shift:Day
  • 22 Days Ago

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Assistant Director of Operations and Finance
  • City of Gastonia
  • Gastonia, NC FULL_TIME
  • Manages the complex professional and administrative functions of the Schiele Museum. As a member of the leadership team, this position oversees the budgeting, expenses, planning, forecasting, earned i...
  • 27 Days Ago

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Assistant Finance Director
  • Town of Boiling Springs, NC
  • Shelby, NC FULL_TIME
  • Job OverviewAn employee in this class assists the Finance Director with the organization and direction of the financial functions for the receiving, disbursing, and accounting of revenue and expenditu...
  • 1 Day Ago

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Director of Child Care
  • Smilez Child Care Llc
  • Shelby, NC PART_TIME
  • Directs, organizes and administers child care programs.Level 1 or 2 with atleast 3 years of experience working in either a 3 or 4 SCALES rated center.A working knowledge of DCDEE licensing standards a...
  • 1 Month Ago

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Medical Director
  • Hopscotch Primary Care
  • Shelby, NC FULL_TIME
  • Join Us on Our Mission to Transform Healthcare! Hopscotch Primary Care takes a team approach to serve patient needs and provide the best care possible. Our goal is to provide the care each of us would...
  • 29 Days Ago

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Director of Nursing (DON)
  • Autumn Care of Statesville
  • Hickory, NC FULL_TIME
  • *This position is for Autumn Care of Statesville located at 2001 Van Haven Dr., Statesville, NC 28625*Seeking a Hard Working DON to join the team at Autumn Care of Statesville!Personal Attention-Prove...
  • 1 Month Ago

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0 Managed Care Finance Director jobs found in Gastonia, NC area

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Chief Operating Officer
  • Garden City Equity
  • Charlotte, NC
  • Garden City Equity is a people-first holding company investing in exceptional founder & family-owned businesses. We live...
  • 1/19/2025 12:00:00 AM

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Data Mgmt Consultant
  • Dexian
  • Harrisburg, NC
  • Job Summary: Dexian is seeking a Data Management Consultant for an opportunity with a client located in Harrisburg, NC. ...
  • 1/19/2025 12:00:00 AM

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Vice President Controller
  • Confidential Posting
  • Charlotte, NC
  • Position: Vice President Controller Location: Charlotte, NC (Hybrid) Experience: 15+ years of progressive accounting exp...
  • 1/19/2025 12:00:00 AM

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Controller
  • Profile Homes
  • Pineville, NC
  • Job Description Job Description Excellent opportunity for an experienced financial professional to join the leadership t...
  • 1/18/2025 12:00:00 AM

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Director of Finance
  • Dream Finders Homes
  • Charlotte, NC
  • We are seeking a professional, experienced, and effective Director of Finance with a proven history of accounting and fi...
  • 1/17/2025 12:00:00 AM

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Modeling Actuary
  • Knighthead Life
  • Charlotte, NC
  • ***THIS JOB IS AVAILABLE TO CANDIDATES IN GREENWICH, CT / CHARLOTTE, NC / NEW YORK, NY*** About Knighthead Life Knighthe...
  • 1/16/2025 12:00:00 AM

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Senior Executive Assistant
  • Brown & Brown Insurance
  • Charlotte, NC
  • **This opportunity is located in Daytona Beach, FL and a comprehensive relocation package is offered ** Reporting to the...
  • 1/15/2025 12:00:00 AM

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Assistant Director, Finance
  • Great Wolf Lodge
  • CONCORD, NC
  • Pay: $85000 per year - $95000 per year This is a developmental position that will ultimately likely require relocation. ...
  • 11/5/2024 12:00:00 AM

Gastonia is the largest city in and county seat of Gaston County, North Carolina, United States. It is also the second largest satellite city of the Charlotte area, behind Concord. The population was 71,741 at the 2010 Census. In 2016, the population had increased to 75,536. Gastonia is the 13th largest city in North Carolina. It is part of the Charlotte metropolitan area, officially designated the Charlotte Metropolitan Statistical Area (MSA). Gastonia has experienced steady growth, with a population increase between 2000 and 2010 of nearly 8.2%, according to the U.S. Census Bureau. According...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$140,923 to $182,095
Gastonia, North Carolina area prices
were up 1.5% from a year ago

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Managed Care Companies File Protests Over Lost Ohio Medicaid Contracts.
February 14, 2020