Managed Care Finance Director jobs in California
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)
Recently Added Managed Care Finance Director jobs
Director of Managed Care Relationships
- ScionHealth
-
Westminster, CA
FULL_TIME
-
Description
Are you ready to be a difference maker? A change agent? Are you looking for an opportunity to do your life’s best work?
ScionHealth is recruiting for a Director of Managed Care Relations, DOMCR, to join our managed care team. This is a remote position and will support our Southern California market. Therefore, some travel will be required.
ScionHealth, is focused on driving innovation and investing in people and technology to deliver compassionate patient care and excellent health outcomes in ways that lift a community and improve health equity. We operate 76 Specialty hospitals across the company and are growing. We believe that great work comes from passionate people who are inspired to give their best every day.
Job Summary
The Director of Managed Care Relations (DOMCR) works with Senior Directors of Managed Care to lead, develop, and execute on our Managed Care Market Strategies. Collaborates with market colleagues to identify and execute on business development and revenue growth opportunities and will work to resolve systemic clinical or operational challenges. The DOMCR will serve as a key market leader and a critical liaison between the market’s Managed Care payers and the markets’ operations and clinical teams by building trusted relationships and driving business. This role is both internal and external facing and focuses on developing and maintaining effective working relationships.
Primary Responsibilities- Self-directed to build and maintain managed care payer relationships in support of the Managed Care strategy for each market to ensure (i) appropriate contact and communication at all necessary levels within the payor organization (e.g., contracting, medical management, discharge planning, etc.), (ii) communication of ScionHealth’s value proposition (iii) resolving “barriers to entry”, and (iv) consistency of messaging in general.
- Builds and maintains strong Managed Care payer relationships in support of the managed care strategy for each market with a focus on our value proposition.
- Acts as a liaison between the Managed Care department and internal and external stakeholders. Build trusted relationships.
- Owns and manages all aspects (including both clinical and operational matters) of assigned portfolio of Managed Care contracts and associated payer relationships.
- Sponsors and facilitates quarterly Joint Operation/Quality Meetings (JQCs) with Managed Care leadership and key decision-makers to identify and pursue business growth opportunities, resolve key clinical and/or operational challenges.
- Sponsors and facilitates Key Touch Point Meetings with critical external and internal customers monthly. Focuses on key decision makers in the payer community to identify and pursue strategic business growth opportunities.
- Educates and trains core group of market operations and internal support services on relevant elements of new or renegotiated contracts.
- Creates tailor made presentations/materials to help drive Managed Care business.
- Responsible for performing ongoing research to proactively identify new managed care business/opportunities.
- Self-motivated and results oriented.
- Strategic thinker and takes initiative to seek out solutions.
- Strong organizational and interpersonal skills, including the ability to work collaboratively with various colleagues to achieve defined market-specific goals; high degree of comfort interacting with Medical Directors and Senior Utilization Management team in Managed Care Organizations.
- Ability to apply knowledge of payer contract terminology and payer reimbursement methodologies including managed care requirements and strategies.
- Ability to communicate in English effectively through verbal, written, and presentation form.
- Ability to work under stress and meet deadlines.
- Strong technical skills in regularly used applications, i.e., Excel, PowerPoint, Word, etc. Proficient in facilitation of virtual meetings (Teams, Zoom, etc.).
- Ability to manage and organize priorities, for multiple tasks, projects, and assignments simultaneously.
- Ability to travel occasionally: approximate percent of time required for travel: 30%
Education- Bachelor's degree in business or related field.
- Five to seven (5 – 7) years of healthcare experience in the areas of managed care contracting, payer/provider relations, and/or business development.
- Clinical experience preferred but not required.
- Knowledge of Post-Acute Industry preferred but not required.
- 2 Days Ago
Director of Managed Care Relationships
- Kindred
-
Westminster, CA
FULL_TIME
- DescriptionAre you ready to be a difference maker? A change agent? Are you looking for an opportunity to do your life’s best work?ScionHealth is recruiting for a Director of Managed Care Relations, DO...
- 8 Days Ago
Director, Managed Care
- Adventist Health
-
Roseville, CA
FULL_TIME
- Adventist Health is ranked #10 in Becker's list of the largest nonprofit hospital systems in the U.S. We are the largest company headquartered and sixth largest employer in Roseville, California. Our ...
- 15 Days Ago
Director of Managed Care Relationships
- Kindred Hospital Westminster
-
Westminster, CA
OTHER
- DescriptionAre you ready to be a difference maker? A change agent? Are you looking for an opportunity to do your life’s best work? ScionHealth is recruiting for a Director of Managed Care Relations, D...
- 1 Month Ago
Director of Managed Care Contracts
- Rockport Healthcare Services
-
Los Angeles, CA
FULL_TIME
- SUMMARY: The Director of Managed Care Contracts is responsible for the management of all managed care and capitation contracts/amendments, including, but not limited to, professional and facility fee ...
- 29 Days Ago
Assistant Director of Managed Care - Hybrid Sacramento CA
- California Primary Care Association
-
Sacramento, CA
FULL_TIME
- Association’s Mission: California Primary Care Association's mission is to lead and position community clinics, health centers, and networks through advocacy, education, and services as key players in...
- 2 Months Ago
Managed Care Finance Director jobs at Popular Companies
VP of Finance/CFO
- Creative Financial Staffing
-
Boston, MA
- An international Fitness and Sports Event company has exclusively retained Creative Financial Staffing to identify a VP ...
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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...
- 6/11/2024 12:00:00 AM
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...
- 6/11/2024 12:00:00 AM
Financial Director
- Accountants One
-
Atlanta, GA
- Accountants One is working with a repeat client that is hiring a Finance Director. This is an exciting opportunity to jo...
- 6/10/2024 12:00:00 AM
Chief Financial Officer (CFO)/Controller
- New Reach
-
New Haven, CT
- Company Overview: As a long-time leader in Connecticut, New Reach hopes to now chart a new path by fundamentally shiftin...
- 6/8/2024 12:00:00 AM
CFO/Controller
- Bonaventure Pro LLC
-
Rayne, LA
- Job Description CFO / Controller needed for a fast-growing business in Rayne, LA. We are looking for a senior team membe...
- 6/7/2024 12:00:00 AM
SVP of Finance / CFO
- WellSaid Labs
-
Seattle, WA
- Who We Are: WellSaid Labs WellSaid Labs is the leading AI voice company for enterprise and professional applications. Us...
- 6/7/2024 12:00:00 AM
CFO Controller
- Paragon Systems Integration
-
Miami, FL
- Job Description Job Description Do you want to work with a company that delivers the largest, most complex, cutting-edge...
- 6/7/2024 12:00:00 AM
About California
California is a state in the Pacific Region of the United States. With 39.6 million residents, California is the most populous U.S. state and the third-largest by area. The state capital is Sacramento. The Greater Los Angeles Area and the San Francisco Bay Area are the nation's second and fifth most populous urban regions, with 18.7 million and 9.7 million residents respectively. Los Angeles is California's most populous city, and the country's second most populous, after New York City. California also has the nation's most populous county, Los Angeles County, and its largest county by area, S...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$158,012 to $204,178
Most Popular Cities in California for Managed Care Finance Director Jobs
What does a Managed Care Finance Director do?
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