Managed Care Supervisor jobs in Florida

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)

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Managed Care Data Analyst
  • Sarasota Memorial Health Care System
  • Sarasota, FL FULL_TIME
  • Job Description

    Department

    Managed Care

    Job Summary

    Works with Managed Care Analyst Sr to oversee the balancing, reconciling, and resolution of errors for the daily 835 and 837 files, charges, payments, adjustments and contractuals to the patient accounts receivable system. Provides training, guidance, and support with the use of the managed care contracting system by Patient Financial Services (PFS) and other Revenue Cycle team members through education and daily communication. Oversees the Master Tables as assigned and collaborates with the Managed Care team to implement process improvements. Provides guidance and support for other system maintenance functions as required for data integrity of the contract modeling software. Develops reports/report views and explains and interprets data as requested and maintains report libraries. Collaborates with Managed Care Analyst Sr in modeling proposed contracts and loading finalized contracts. Oversees all contract naming conventions, organization of payor models, organization of scanned and paper contracts, rate schedules, payor correspondence, and the managed care smh.com website. Performs other duties as assigned in support of the Managed Care Department.

    Required Qualifications

    • Require a bachelor’s degree in a relevant field of study.
    • Require experience in at least two (2) of the following: Microsoft Excel data analysis, Microsoft PowerPivot / SSAS, Power BI, SQL Server (coding or database maintenance), SSRS, RStudio, Python, PowerShell, or other similar analytics toolset or programming language.

    Preferred Qualifications

    • Prefer experience in a managed care setting.
    • Prefer knowledge of health insurance plans and managed care contracts.
    • Prefer proficient excel user with experience using complex formulas and pivot tables.
    • Prefer previous experience in generating a variety of reports.
    • Prefer coding certificate (i.e. CPC) or CPAT/CRCS.
    • Prefer demonstrated knowledge of hospital billing, including hospital charges, CPT, DRG, APC, APRDRG, revenue codes, and ASC Groupers
    • Prefer demonstrated knowledge of contract modeling software, contract terms, and contract modeling.
    • Prefer demonstrated ability to relate to a wide variety of people using excellent written and verbal communication skills.
    • Prefer demonstrated organizational, analytical, leadership and judgment skills.
    • Prefer demonstrated proficiency with Windows-based office applications including Excel, Word, PowerPoint, Access, and Outlook.
    • Prefer knowledge and experience with hospital and physician billing, payer claims adjudication and analyzing payment patterns.

    Preferred Education

    M D: Masters Degree
  • 8 Days Ago

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Managed Care Certified Pharmacy Technician
  • Community Care Plan
  • Sunrise, FL FULL_TIME
  • **MUST BE WILLING TO PHYSICALLY WORK NEAR SUNRISE, FLORIDA, 33323** APPLY ONLY IF YOU ARE A CERTIFIED PHARMACY TECHNICIAN! NON CERTIFIED PHARMACY TECHNICIANS WILL NOT BE CONSIDERED!!! Position Summary...
  • 23 Days Ago

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Medical Assistant with Managed Care Experience
  • All American Family and Geriatric Care
  • Seminole, FL FULL_TIME
  • We are looking for a friendly, energetic, professional medical assistant to start as soon as possible. - Have administrative and communications skills. - Able to call patients to get updates on patien...
  • 6 Days Ago

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Managed Care Certified Pharmacy Technician
  • South Florida Community Care Network Llc
  • Fort Lauderdale, FL FULL_TIME
  • **MUST BE WILLING TO PHYSICALLY WORK NEAR SUNRISE, FLORIDA, 33323** Position Summary: Provides high quality and effective assistance to the pharmacy team on various clinical and data driven activities...
  • 12 Days Ago

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Managed Services Mechanical Supervisor
  • Vertiv
  • Sydney, FL FULL_TIME
  • Who we are: Nearly all aspects of our lives involve the use of technology. It is how we work and play and do anything in between. This connectivity or use of data is built into the very fabric of our ...
  • 15 Days Ago

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MedPro Managed Care Specialist
  • West Florida Medical Center Clinic PA
  • Pensacola, FL FULL_TIME
  • DescriptionJOB SUMMARYUnder the direction of the Revenue Integration Manager, the Managed Specialist is responsible for obtaining preauthorization for inpatient admissions, outpatient surgeries and ad...
  • 28 Days Ago

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Care Supervisor
  • ComForCare
  • Lansdale, PA
  • Benefits: Bonus based on performance Competitive salary Flexible schedule Paid time off Wellness resources Full job desc...
  • 6/2/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco Animal Supplies, Inc.
  • Crystal Lake, IL
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/2/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco Animal Supplies, Inc.
  • Santa Clarita, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/2/2024 12:00:00 AM

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Residential Care Supervisor
  • THE CENTERS FOR HABILITATION
  • Mesa, AZ
  • Job Description Job Description Direct Care Supervisor II (Tempe) 3197 WHO WE ARE: TCH has been serving the needs of ind...
  • 6/1/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco Animal Supplies Inc
  • Saugus, MA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 5/31/2024 12:00:00 AM

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Child Care Supervisor
  • Stratton Mountain
  • Rutland, VT
  • Please note, this position is located at Stratton Mountain Resort inStratton Mountain, VT Year Round At Stratton, we are...
  • 5/31/2024 12:00:00 AM

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Child Care Supervisor
  • Hiring Now!
  • Lebanon, NH
  • Please note, this position is located at Stratton Mountain Resort inStratton Mountain, VT Year Round At Stratton, we are...
  • 5/31/2024 12:00:00 AM

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Child Care Supervisor
  • Hiring Now!
  • Bennington, VT
  • Please note, this position is located at Stratton Mountain Resort inStratton Mountain, VT Year Round At Stratton, we are...
  • 5/31/2024 12:00:00 AM

Florida (/ˈflɒrɪdə/ (listen); Spanish for "land of flowers") is the southernmost contiguous state in the United States. The state is bordered to the west by the Gulf of Mexico, to the northwest by Alabama, to the north by Georgia, to the east by the Atlantic Ocean, and to the south by the Straits of Florida. Florida is the 22nd-most extensive (65,755 sq mi or 170,300 km2), the 3rd-most populous (21,312,211 inhabitants), and the 8th-most densely populated (384.3/sq mi or 148.4/km2) of the U.S. states. Jacksonville is the most populous municipality in the state and the largest city by area in th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$72,497 to $100,050

Managed Care Supervisor in Columbia, SC
The Supervisor Business Services of Government Billing and Collections will be responsible for the overall AR management of all government inventory.
January 02, 2020
Managed Care Supervisor in Colorado Springs, CO
In Service to Our Community is achieved through streamlined, coordinated and comprehensive high-quality, compassionate care close to home.
February 15, 2020
Managed Care Supervisor in Portland, ME
·        Minimum one year resolving claims issues with Payer Relations representatives to handle managed care contract implications.
February 19, 2020