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)
Eastridge Workforce Solutions is a leading provider of workforce management solutions, dedicated to connecting skilled professionals with rewarding opportunities. In partnership with a well-established healthcare fund management firm, we are searching for an experienced Director of Managed Care and Vendor Administration. This role is responsible for overseeing the strategic direction, planning, and management of managed care vendor contracting and monitoring. The position involves implementing innovative contracting strategies like direct contracting, risk-sharing, narrow networks, bundled payments, and value-based contracting, particularly with providers at Health Centers. The role requires employing consultants and collaborating with experts to identify opportunities.
KEY ACCOUNTABILITIES
Additionally, the role involves planning, analyzing, and evaluating programs and services, supervising and developing staff, and recommending staffing decisions. The position also encompasses developing policies, overseeing employee training, promoting diversity and inclusion, and maintaining knowledge of diversity-related best practices and legislation.
ESSENTIAL QUALIFICATIONS
Benefits: We reward great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, 401(k), Pension, Short- & Long-term Disability, Life, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP).
Eastridge Workforce Solutions is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We celebrate diversity and are committed to creating an inclusive environment for all employees. Please note that Eastridge is unable to provide visa sponsorship to applicants.
Certain clients require Eastridge to perform background checks and Eastridge will consider qualified applicants with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds.
#IPROPLUS
#LI-BL2