Managed Care Finance Director jobs in North Carolina

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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Director, Managed Care Growth
  • Hopscotch Primary Care
  • Asheville, NC FULL_TIME
  • ABOUT THE ROLE

    We are seeking a results-oriented, team-focused and mission-driven professional to join our core team as Director, Managed Care Growth. The Director of Managed Care growth will be a trusted partner to the Head of Growth to develop and drive high-Impact strategies to grow our at-risk patient base.   

    Our ideal candidate will bring skill, tenacity and passion to play an instrumental role to strengthen the company's business strategy and execution against critical priorities and plans to grow and scale.  This role is based in Western North Carolina (our clinics are clustered around Asheville, NC), but we will consider remote candidates who are able to spend at least 50% of their time in Western North Carolina. 

    Specific responsibilities will include (but are not limited to):

    • Strategic partner to Head of Growth and executive team in developing company strategy for managed care growth, payer attribution, and patient retention
    • Oversight and accountability for managed care growth, payer attribution, and patient retention for our Western North Carolina clinics
    • Lead, manage, and develop our Patient Relations Managers, building a performance driven team and a collaborative environment
    • Develop and roll-out trainings for Patient Relations Managers
    • Grow Patient Relations Manager team as we continue to expand clinic footprint in Western North Carolina
    • Design and establish tools and workflows that improve the Medicare attribution program and managed care growth process
    • Establish and maintain relationships with Medicare brokers in Western North Carolina, creating processes to evaluate relationship performance
    • Work closely with other departments to develop and execute programming during Medicare enrollment periods and integrate new initiatives into clinic operations
    • Oversee CRM workflows, internal reporting, and payer reporting to monitor program performance, track attribution, and assess service quality, ensuring alignment with growth objectives
    • Continuously assess and refine program strategies based on detailed performance metrics and patient feedback, ensuring the program adapts to changing needs and maximizes effectiveness

    The Director, Managed Care Growth is a critical hire to lead our passionate, skilled, and committed team at Hopscotch as we work to achieve our big and important mission.   

    ABOUT YOU 

    You’ll be a great fit for this position if you have 6 years of combined experience in a Medicare support, attribution, or patient services role and 3 years managing teams.  You also have a proven track record demonstrating:

    • Success in building and driving results in a high-growth, fast-paced organization, managing to success through scale and change
    • Strength in execution, a drive for results and a commitment to excellence, accountability and follow-through using robust organizational skills, program management, collaboration and communication
    • Strategic thinking, including the ability to develop robust insights from various sources, grounded in data and objective analysis, with the ability to make concrete recommendations and outline clear action steps to enable results.
    • Articulate and succinct communication, including complex concepts, verbally and in writing, and use synthesized communications to drive execution and results.
    • High EQ and a collaborative and trust-driven working style to quickly build relationships, internally and externally, to enable our work and culture.
    • Comfort with dynamic and sometimes ambiguous settings, showing the skill to bring a structured, proactive approach to prioritize and execute in a fast-paced, dynamic environment.
    • Ability to learn quickly and leverage critical thinking and perseverance to take initiatives, solve problems, operate with autonomy and succeed in high-pressure situations.
    • Willingness to act with courage, lean into conflict and foster the ‘tough’ conversations that need to happen to support our culture and success together

    From a cultural perspective, you are:

    • Committed to excellence and bring a growth mindset to everything you do
    • Patient- and mission-focused, with a passion for healthcare and service to the providers who deliver healthcare
    • Agile, yet thoughtful and can work effectively in a fast-paced, dynamic environment
    • Constantly seeking ways to simplify and improve how things are done, bringing a positive attitude to challenges
    • Team-first and lead with humility, setting the tone for others to do the same
    • Accountable, holding yourself and others to a high standard and seek to support and develop others
    • Willing to roll up your sleeves, bringing a high work ethic and strong collaboration skills to work effectively with people of all backgrounds
    • Concise and articulate, drive towards clarity and deliver on your commitments
  • 18 Days Ago

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Executive Director, Financial Services
  • Finance
  • Charlotte, NC FULL_TIME
  • General Definition of Work The executive director of financial services, under minimal supervision, performs senior-level work with extensive decision-making discretion planning, directing and reviewi...
  • 5 Days Ago

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Director of Finance and Information Systems
  • Mercy Urgent Care
  • Asheville, NC FULL_TIME
  • Director of Finance and Information Systems Manages and directs the accounting operations of the organization. Hands-on position ensures legal and regulatory compliance for all accounting, and Account...
  • 25 Days Ago

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Sr Analyst, Finance OR Sr. Accountant
  • Managed Staffing, Inc.
  • Plymouth, NC FULL_TIME
  • Title: Sr Analyst, Finance OR Sr. AccountantLocation: Plymouth, NC 27962 (ONSITE)Job DescriptionThe Financial Analyst will report directly to the Mill Controller and is part of the Finance team at the...
  • 6 Days Ago

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Managed Care Analyst / Managed Care / Full-Time
  • Catawba Valley Health System
  • Claremont, NC FULL_TIME
  • SummaryJob DescriptionPosition is responsible for working with various internal and external customers regarding contract payor terms, policy/procedure updates, payor administration, variances/contrac...
  • 7 Days Ago

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Managed Care Analyst / Managed Care / Full-Time
  • Catawba
  • Claremont, NC FULL_TIME
  • Summary: Position is responsible for working with various internal and external customers regarding contract payor terms, policy/procedure updates, payor administration, variances/contract modificatio...
  • 20 Days Ago

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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...
  • 6/2/2024 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...
  • 6/2/2024 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...
  • 6/2/2024 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...
  • 6/1/2024 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...
  • 6/1/2024 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...
  • 5/31/2024 12:00:00 AM

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Finance Director
  • Remotivate LLC
  • Fort Worth, TX
  • Location: Grapevine, Texas Hello, Financial Leaders! We're Emma and Jordan, the Co-Founders of Gameway. Gameway is the w...
  • 5/30/2024 12:00:00 AM

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Finance Director
  • Remotivate LLC
  • Irving, TX
  • Location: Grapevine, Texas Hello, Financial Leaders! We're Emma and Jordan, the Co-Founders of Gameway. Gameway is the w...
  • 5/30/2024 12:00:00 AM

North Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the southeastern region of the United States. It borders South Carolina and Georgia to the south, Tennessee to the west, Virginia to the north, and the Atlantic Ocean to the east. North Carolina is the 28th-most extensive and the 9th-most populous of the U.S. states. The state is divided into 100 counties. The capital is Raleigh, which along with Durham and Chapel Hill is home to the largest research park in the United States (Research Triangle Park). The most populous municipality is Charlotte, which is the second-largest banking center in...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$137,526 to $177,707

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