Managed Care Finance Director jobs in Pennsylvania

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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Regional Director - Managed Care - ACUTE
  • UHS
  • KING OF PRUSSIA, PA 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 performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

     

    UHS is currently recruiting for our Regional Director of Managed Care for the acute division in our Texas / Oklahoma region. 

     

    Responsibilities include:

    • Maximizes the performance of UHS managed care contracted business in accordance with sound health care and fiscal management practices.

    • Establishes contracting parameters, “rules of engagement” and contracting tools to ensure creation of managed care contracts that meet UHS corporate financial goals and maximizes the potential for revenue collection per company systems.

    • Participates in payer negotiations as appropriate and requested by facility CEO’s and Regional VP’s.

    • Represents UHS to payers on a national basis to encourage open communication and maintains relationships beneficial to UHS.

    • Ensures managed care/revenue cycle coordination among all functional areas required to maximize contact performance (e.g. business office, managed care, UM and CFO staff). Facilitates meetings of corporate and filed staff to establish parameters that ensure contract performance objectives and establishment of managed care/revenue cycle committees at all facilities with significant managed care business volume.

    • Strengthens managed care analytical reporting to improve negotiations goal setting and maximizing contract performance. 


    Qualifications

    • Bachelor's Degree
    • Comprehensive working knowledge of managed care contracting and practices sufficient to maximize revenue generated from these sources.
    • Extensive knowledge of health care finance practices and methods.
    • Demonstrated managed care contract negotiation skills.
    • Demonstrated inter-personal and written and verbal communication skills required in imparting and developing contract negotiation practices to Acute Care hospital executive management staff.

    EEO Statement

    All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

    We believe that diversity and inclusion among our teammates is critical to our success.

    Notice

    At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries.  We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449

  • 20 Days Ago

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Director of Finance -- Remote -- WFH
  • Get It Recruit - Finance
  • Mechanicsburg, PA FULL_TIME
  • Director of Finance OpportunityAre you seeking a dynamic opportunity to contribute to a growing organization while fostering your personal and professional growth? Join us as we embark on an exciting ...
  • 16 Days Ago

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Director of Managed Services
  • Latitude Inc
  • Broomall, PA FULL_TIME
  • Main Points Mostly onsite position in Broomall, PASalary: 100k-140k depending on experience "command" and "control" experience required Overview:The Director of Managed Services provides leadership, d...
  • 21 Days Ago

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Director of Credit - Middle Ticket Senior Credit Underwriter
  • NewLane Finance
  • Philadelphia, PA FULL_TIME
  • NewLane Finance is a commercial equipment finance company, serving small and mid-size businesses nationwide. Our mantra is "Business Lending Done Right", and our strategy is to revolutionize small bus...
  • 1 Day Ago

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Managed Care Underwriter
  • Berkley Accident and Health (a Berkley Company)
  • Kulpsville, PA FULL_TIME
  • Company DetailsBerkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With our entrepreneurial culture and a strong...
  • 2 Days Ago

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Managed Care Reimbursement Analyst
  • Jefferson Health Plans
  • Philadelphia, PA FULL_TIME
  • Why Choose Jefferson Health Plans?We are an award-winning, not-for-profit health maintenance organization offering Medicaid, Medicare, and Children’s Health Insurance Program (CHIP) plans that include...
  • 5 Days Ago

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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 ...
  • 6/11/2024 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...
  • 6/11/2024 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...
  • 6/11/2024 12:00:00 AM

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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

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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

B
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

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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

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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

Pennsylvania (/ˌpɛnsɪlˈveɪniə/ (listen) PEN-sil-VAY-nee-ə), officially the Commonwealth of Pennsylvania, is a state located in the northeastern and Mid-Atlantic regions of the United States. The Appalachian Mountains run through its middle. The Commonwealth is bordered by Delaware to the southeast, Maryland to the south, West Virginia to the southwest, Ohio to the west, Lake Erie and the Canadian province of Ontario to the northwest, New York to the north, and New Jersey to the east. Pennsylvania is the 33rd-largest state by area, and the 6th-most populous state according to the most recent of...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$142,970 to $184,742

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