Managed Care Supervisor supervises and coordinates activities of personnel in the managed care operations department of a healthcare facility. Oversees staff that process referrals, authorizations, billing, utilization review, and capitation for hospital services. Being a Managed Care Supervisor experienced in utilization review techniques and protocols. Requires a bachelor's degree. Additionally, Managed Care Supervisor typically reports to a manager or head of a unit/department. May require Registered Nurse (RN). Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. The Managed Care Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. To be a Managed Care Supervisor typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. (Copyright 2024 Salary.com)
ScionHealth is recruiting for a Director of Managed Care Analytics to join our team!
Job Summary
The Director of Managed Care Analytics is responsible for supporting the Vice President Managed Care as well as the Managed Care Contracting team in contract modeling, strategic planning, budgeting, financial analysis, and evaluating potential acquisitions. This role supports managed care, hospital operations, and physician operations across the ScionHealth enterprise by providing analysis managed care financial metrics, including but not limited to volume trends, contract yield, financial performance analysis, benchmarking, and trend analyses to support strategic pricing.
Primary Responsibilities
Education
Bachelor's degree in Business Administration, Accounting, Finance, or commensurate experience in Health Care or Managed Care industry.
Licensure/Certification
Project Management certification preferred, but not required.
Experience
8-10 years of progressive experience in financial and data analysis in the Healthcare industry.