Managed Care Finance Director jobs in New Jersey
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
- Cooper University Health Care
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Camden, NJ
FULL_TIME
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Maintain and update Epic and contract management tool (e.g. Strata Jazz) as it relates to contract management and maintenance, be the Subject Matter Expert (SME) for both systems as it relates to contract build.
Troubleshoot and fix Epic and contract management tool as it relates to incorrect contract logic causing claims to process incorrectly; submit help tickets requesting assistance from Epic or contract management tool to correct issues.
Update the team as to accuracy of Epic and contract management tool functionality; develop and maintain contract variance reports for contract inconsistencies.
Knowledge of payor contracting methods and reimbursement processes, particularly as they relate to claim payment and operational administrative issues.
Responsible for updating billing teams with contract documents and being the liaison between Billing and Managed Care.
Develop and maintain reporting and modeling capabilities in both Epic and contract management tool and ensuring both systems are operating at full capacity. Participate in system meetings as offered to learn about new upgrades to systems.
Run ad hoc reports and complete impact analysis as requested. Provide back up support to Business Data Analyst as assigned.
- 10 Days Ago
- CS Recruiting
-
Newark, NJ
FULL_TIME
- With business landscapes so competitive, cost is often the first thing decision makers look at. Providing trustworthy solutions with exceptional pricing is certainly our client’s first priority, howev...
- 2 Days Ago
- Prime Healthcare
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Denville, NJ
FULL_TIME
- Prime Healthcare is an award-winning national hospital system with 45 acute-care hospitals in 14 states with nearly 50,000 employees and physicians. Through a physician-directed and patient-centered m...
- 2 Days Ago
- 100 Horizon Healthcare Services, Inc
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Wall, NJ
FULL_TIME
- Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Job Summary: This position supports the Clinical Operations functions and acts as a liaison between Me...
- 4 Days Ago
- Horizon Blue Cross Blue Shield of New Jersey
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Wall, NJ
FULL_TIME
- Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Job Summary : This position supports the Clinical Operations functions and acts as a liaison between M...
- 4 Days Ago
- Saint Peters Healthcare System
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Brunswick, NJ
FULL_TIME
- Managed Care Specialist BilingualInternal Medicine-How LaneSaint Peter's Family Health Center is seeking a Managed Care Specialist to join the Adult Ambulatory Care Services, Internal Medicine How Lan...
- 5 Days Ago
Managed Care Finance Director jobs at Popular Companies
- 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
- 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
- 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
- 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
- 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
- WellSaid Labs
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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
- 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
- Capital One
-
Richmond, VA
- West Creek 8 (12080), United States of America, Richmond, Virginia Senior Director, Card Finance: CFO of Business Cards ...
- 6/7/2024 12:00:00 AM