Managed Care Finance Director jobs in Texas

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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Managed Care Director
  • LifeCare Health
  • Addison, TX FULL_TIME
  • We may not have an open position currently - but you are welcome to submit your application for Managed Care Director and be considered for future open opportunities.

    General Summary: The Managed Care Director establishes and implements the company-wide managed care strategy. This may include the identification and prioritization of payors by market; determining the viability of a given payor agreement; ability to leverage hospital performance and payor agreements across otherwise disparate markets; negotiation and re-negotiation of payor agreements; and the harvesting and communication of performance data to stimulate payor negotiation referrals.

    Patient Population: Does not have contact with patients.

    Essential Functions:

    • Negotiates patient-specific letters of agreement with payors as requested and within the context of rates “on the table” or cross-market arrangements with the same payor.
    • Negotiates viable definitive agreements with payors as requested and assigned within the context of rates “on the table”, cross-market arrangements with the same payor, and/or same market rates with alternative payors.
    • Develops and coordinates the execution and evaluation of hospital/region-specific managed care plans.
    • Develops or stimulates the development of appropriate case studies, LifeCare Moments, and Celebrating Patient Success stories and submits to LMS Marketing for final editing, archiving and play running.
    • Functions as primary point of contact with respect to “A” and “B” payors on a consistent and ongoing basis to move payors towards viable network agreements and/or to stimulate appropriate referrals to LifeCare facilities.
    • Organizes and facilitates touchpoints among appropriate local and corporate LifeCare team members and their payor counterparts to move payors towards viable network agreements and/or to stimulate appropriate referrals to LifeCare facilities.
    • Actively participates in regional and local managed care teleconference meetings. Secures participation by all other relevant hospital stakeholders and shows accountability to his/her hospitals with respect to personal touchpoints and Managed Care administration.
    • Provides on-site support for a defined period and submits recommendations pertaining to commercial census recovery, acuity validation, rate recovery, or other managed care strategic plan-related tactics. Maintains a state of readiness to build the managed care agreement portfolio, both pre and post operationally for new hospitals in existing or new markets.
    • Regular attendance and timeliness is required.

    This description is a general statement of required essential functions performed on a regular and continuous basis. It does not exclude other duties as assigned.

    Requirements

    Supervision: Directs the activities and the staff of the department.

    Experience Minimum of five years’ experience developing and implementing managed care contracts in multi-market health care systems. Experience negotiating system-wide contracts as both payor and provider is preferred.

    Education: Bachelor’s degree in Health Administration or business-related field required; master’s degree preferred.

    Licensure/Certification: Certification in the American Hospital of Healthcare Executives preferred.

  • 12 Days Ago

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Assistant Director (Managed Care)
  • Sigma Inc
  • Garth, TX FULL_TIME
  • 23-AD8500 - Assistant Director (Managed Care) - Las Vegas, NV - Full Time Direct Hire Sigma Healthcare team is currently looking for a Director, Care (Case) Management to work onsite at our client's h...
  • 1 Month Ago

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Director of Managed Care - ACUTE
  • UHS
  • DENISON, TX FULL_TIME
  • Responsibilities One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and p...
  • 1 Month Ago

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Managed Care Director
  • LifeCare
  • Addison, TX FULL_TIME
  • Job Title Managed Care Director Posted 2/25/2024 Location LifeCare Management Services (Corporate Office) 15305 Dallas Parkway Tower III, Suite 1000 Addison, TX 75001 www.lifecare-health.com Descripti...
  • 2 Months Ago

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Managed Care Virtual Liaison
  • Home Care Providers of Texas
  • Dallas, TX FULL_TIME
  • Thanks to our continued success, Home Care Providers of Texas is seeking a Managed Care Virtual Liaison in the Dallas, TX and surrounding area!The Managed Care Virtual Liaison is responsible for the p...
  • 1 Month Ago

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Director of Managed Services
  • DeWolff, Boberg & Associates
  • Dallas, TX FULL_TIME
  • Position Role & ResponsibilitiesThe Director of Managed Services is responsible for managing the implementation of WorkSite from business need to final product deliverable. This position ensures that ...
  • 11 Days Ago

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CFO/Controller
  • Crunch
  • Woodbridge, NJ
  • Fitness Holdings Northeast LLC is looking for a CFO/Controller to join our corporate team. We are a franchise of CRUNCH ...
  • 4/26/2024 12:00:00 AM

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Chief Finance Officer (CFO)
  • Tandym Group
  • New York, NY
  • A Federally Qualified Health Center (FQHC) in New York is currently seeking an experienced Finance professional to join ...
  • 4/25/2024 12:00:00 AM

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Chief Finance Officer (Healthcare)
  • Callen-Lorde Community Health Center
  • New York, NY
  • Job Description Job Description Are you ready to make a profound impact on the world of LGBTQ+ healthcare and lead a dyn...
  • 4/25/2024 12:00:00 AM

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VP, Chief Finance Officer
  • WVU Medicine Thomas Hospitals
  • South Charleston, WV
  • Provides executive management support in planning, organizing and directing fiscal related functions to include financia...
  • 4/24/2024 12:00:00 AM

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Foundation Chief Finance Officer
  • University of Idaho
  • Moscow, ID
  • Position Details Position Information Internal Posting? Posting Number SP004394P Position Title Foundation Chief Finance...
  • 4/24/2024 12:00:00 AM

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Director of Finance/CFO
  • Chatham Emergency Services
  • Savannah, GA
  • Chatham Emergency Services has an opening for the Finance Manager position. The finance director must act with integrity...
  • 4/22/2024 12:00:00 AM

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Chief Finance Officer (CFO)
  • Tandym Group
  • New York, NY
  • A Federally Qualified Health Center (FQHC) in New York is currently seeking an experienced Finance professional to join ...
  • 4/22/2024 12:00:00 AM

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CFO / controller
  • FBF
  • Antler, ND
  • Job Description Job Description We are seeking a CFO / Controller to lead our company! You will help develop and execute...
  • 4/22/2024 12:00:00 AM

Texas (/ˈtɛksəs/, locally /ˈtɛksɪz/; Spanish: Texas or Tejas Spanish pronunciation: [ˈtexas] (listen)) is the second largest state in the United States by both area and population. Geographically located in the South Central region of the country, Texas shares borders with the U.S. states of Louisiana to the east, Arkansas to the northeast, Oklahoma to the north, New Mexico to the west, and the Mexican states of Chihuahua, Coahuila, Nuevo León, and Tamaulipas to the southwest, while the Gulf of Mexico is to the southeast. Houston is the most populous city in Texas and the fourth largest in the...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$139,642 to $180,436

Managed Care Finance Director in Waterloo, IA
Today, the Department of Health Care Finance (DHCF) announced that the Office of Contracting and Procurement (OCP) submitted to the Council of the District of Columbia a notice of intent to award three contracts for the District’s Medicaid managed care program.
January 27, 2020
Managed Care Finance Director in Biloxi, MS
Our executives lead the strategies and operations that help us deliver quality care across our network.
January 30, 2020
Managed Care Finance Director in Reno, NV
Facey Medical Group is a multi-specialty medical group with over 160 physicians providing care to the growing population in the North & East regions of Los Angeles & Ventura Counties.
December 30, 2019
Able to travel to all regional sites in a consistent, timely and efficient manner; holds effective meetings and leads workgroups, assigns and takes over deliverables, reports to and coordinates with the regional director and manager on the priorities and workload management; strives to exceed expectations.
January 24, 2020