Managed Care Finance Director jobs in Georgiana, AL

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)

A
American Family Care - Regional Medical Director
  • American Family Care
  • Montgomery, AL FULL_TIME
  • Summary:  At American Family Care, it is our mission to provide the best healthcare possible in a kind and caring environment while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient.   
     
    Our Regional Medical Directors are essential members of our team in delivering mission-driven healthcare.  We are looking for outstanding physician executives to join our team. 
     
    Our Regional Medical Director will have the following responsibilities: 
     
    Delivering the Best Healthcare Possible 
     
    • Utilizes site-specific and individual-specific data to help drive change 
    • Monitors lab and x-ray review process and ensures they are completed 
    • Supports the moderate-complexity lab as the medical director  
    • Works with leadership to develop clinical pathways to reduce unwarranted practice variation and measure for success 
    • Completes quality of care incident reports as assigned and utilizes findings to help individuals, sites, and the organization improve  
    • Develops a project per year to improve quality, safety, service and value 
    • Provides clinical oversight of APPs as required 
    • Supports the peer review process 
     
    Respecting the Rights of All of Our Patients  
    • Mentors, coaches and develops members of the team utilizing qualitative and quantitative data 
     
    Creating a Kind and Caring Environment  
    • Completes performance reviews  
    • Partners with recruiting to find talent and build teams 
    • Leads meetings and staff meetings as assigned 
    • Participates and leads in committee and work group meetings 
    • Develops educational programming and support as assigned 
    • Builds community relationships 
     
    Caring for Patients at Times and Locations Convenient to the Patient 
    • Ensures DOT training and testing is completed on new hires within 90 days 
    • Provides afterhours call as needed for clinics experience. 
     
    Delivering Care in an Economical Manner 
    • Develops department budgets and capital budgets with operational partners 
    • Helps to ensure appropriate volumes of patients being seen at the clinics 
    • Ensures appropriate documentation is completed for visits by working with RCM 
    • Supports providers in completing coder feedback 
    • Works across providers to ensure “visits on hold” are complete 
     
    Basic Qualifications 
    • 5 Years of Clinical Experience in Primary Care, Urgent Care, or Emergency Medicine 
    • 2 Years of Experience in Previous Medical Leadership Role 
    • Ability to Travel to Sites Across a Region as Needed 
    • Licensed provider in the state of practice 
    • Ability to work well independently evaluating and managing patients 
    • Ability to work well in a fast-paced environment 
    • Friendly and customer-service oriented 
    • Able to work well in team environment 
    • DOT certification or the ability to be certified within 90 days of employment 
     
    Preferred Qualifications 
    • CPR training 
    • Performance Improvement Training and Experience 
    • MBA, MHA or Other Advanced Degree 
     
     
    Our Regional Medical Director Team is essential in delivering upon our mission through the delivery of outstanding clinical care for 70-80% of their time with 20-30% of this time dedicated to administrative duties across a market. 
     
  • 2 Months Ago

K
Customer Service Representative (CSR 1)
  • Kinsmith Finance
  • Prattville, AL FULL_TIME
  • CSRs are responsible for the successful management of customer relationships that lead to meeting monthly office performance goals. Essential responsibilities include: Superior Customer Service and Re...
  • 25 Days Ago

A
American Family Care - Regional Medical Director
  • American Family Care Corporate Office
  • Montgomery, AL FULL_TIME
  • Summary: At American Family Care, it is our mission to provide the best healthcare possible in a kind and caring environment while respecting the rights of all patients, in an economical manner, at ti...
  • 14 Days Ago

O
Specialist, Managed Services
  • OWL Services
  • Montgomery, AL FULL_TIME
  • Quiénes somosOWL Services es el principal proveedor de ventas, instalación, gestión de programas y servicios para empresas minoristas, comerciales, de flotas, de aviación y marinas, y de generación de...
  • 21 Days Ago

V
Critical Care Director
  • Vaughan Regional Medical Center
  • Selma, AL OTHER
  • DescriptionThe Nursing Division Manager is responsible for promoting and maintaining quality patient care through effective management of the activities of the total patient care services as outlined ...
  • 12 Days Ago

L
Quality Care Director
  • LOGZONE, Inc.
  • Montgomery, AL FULL_TIME
  • LOGZONE is a premier Small Disadvantaged Business (SDB), and a Veterans Administration-Certified Service-Disabled Veteran-Owned (SDVOSB) firm. Since 2007, LOGZONE has provided services in Logistics an...
  • 18 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Managed Care Finance Director jobs found in Georgiana, AL area

H
Plant Manager
  • Hubbell Incorporated
  • Greenville, AL
  • Job Overview The Plant Manager for CMC Greenville, AL, is responsible for overseeing the daily operations of manufacturi...
  • 4/18/2024 12:00:00 AM

H
Plant Manager
  • Hubbell Incorporated
  • Greenville, AL
  • Job Overview The Plant Manager for CMC Greenville, AL, is responsible for overseeing the daily operations of manufacturi...
  • 4/18/2024 12:00:00 AM

K
KFC General Manager
  • KFC
  • Greenville, AL
  • This job posting is for a position in a restaurant that is independently owned and operated by a franchisee. This means ...
  • 4/18/2024 12:00:00 AM

K
KFC General Manager - Salary Non Exempt
  • KFC
  • Greenville, AL
  • This job posting is for a position in a restaurant that is independently owned and operated by a franchisee. This means ...
  • 4/18/2024 12:00:00 AM

K
KFC General Manager - Hourly
  • KFC
  • Greenville, AL
  • This job posting is for a position in a restaurant that is independently owned and operated by a franchisee. This means ...
  • 4/18/2024 12:00:00 AM

H
Team Member
  • Hut American Group
  • Greenville, AL
  • **Want to be a Pizza Hut Team Member, Your Gig, Your Schedule, Your Opportunity, Great Perks, Same Day Pay!** Thats righ...
  • 4/18/2024 12:00:00 AM

F
Delivery Driver - Full-time
  • Farmers Home Furniture
  • Greenville, AL
  • ** Delivery Driver - Full-time** **Job Category****:** Store C **Requisition Number****:** DELIV10894 Showing 1 location...
  • 4/18/2024 12:00:00 AM

W
Sales Manager
  • Workingus
  • Greenville, AL
  • **Hyundai Steel America, Inc.** Terms of employment: Annual Salary Discussed upon interview Type of work Full time Locat...
  • 4/14/2024 12:00:00 AM

Georgiana is a town in Butler County, Alabama, United States. As of the 2010 census, the population of the town was 1,738. Georgiana is located in southern Butler County at 31°38'24.313" North, 86°44'21.991" West (31.640087, -86.739442). Interstate 65 passes to the northwest of the town, with access from exit 114 (State Route 106). U.S. Route 31 (Mobile Road) passes through the east side of the town, leading north 16 miles (26 km) to Greenville, the county seat. Via I-65, it is 58 miles (93 km) north to Montgomery, the state capital, and 110 miles (180 km) southwest to Mobile. According to the...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$125,521 to $162,190
Georgiana, Alabama area prices
were up 1.3% from a year ago

Managed Care Finance Director in Portsmouth, NH
Providence is calling a Project Manager (Managed Care Finance) to our Facey Jade Admin Building location in Mission Hills, CA.
December 13, 2019
Managed Care Finance Director in Casper, WY
Twelve medical clinics, including two urgent care centers and dedicated women's centers, are located across the San Fernando, Santa Clarita and Simi Valleys.
December 05, 2019
Managed Care Finance Director in Danbury, CT
Managed Care Companies File Protests Over Lost Ohio Medicaid Contracts.
February 14, 2020