Medical Management Director jobs in North Carolina

Medical Management Director directs and oversees the operations and strategic planning of the organization's medical management initiatives and programs. Establishes case management, utilization review, quality and outcome management, and community education programs to provide high quality, cost effective health care services. Being a Medical Management Director develops and implements clinical guidelines for care designed to improve outcomes while managing costs. Requires a bachelor's degree. Additionally, Medical Management Director typically reports to top management. The Medical Management Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Medical Management Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Director of Revenue Cycle Management
  • Atlantic Medical Management, LLC
  • Jacksonville, NC FULL_TIME
  • Job Details

    Description

    Summary:

    Atlantic Medical Management (AMM) is looking for an experienced Director of Revenue Cycle Management to join our organization. AMM is a corporate medical management firm that is dedicated to improving patient care. Home base for this position is in Cary, NC but requires travel throughout Eastern North Carolina. The Director of Revenue Cycle is responsible for day-to-day revenue cycle operations and the planning, development, and implementation of policies, objectives, and initiatives.

    Responsibilities Include

    • Provides management supervision and operational direction for assigned Revenue Cycle Management departments.
    • Designs and oversees an industry-leading patient access and financial services operational model that ensures high physician and customer satisfaction, organizational efficiency, and strong financial performance while assuring accurate and complete data collection, streamlined financial clearance functions prior to service and sound cash collection processes.
    • Communicates performance expectations of Patients First and supports corporate goals for revenue cycle management. Promoting revenue cycle and being a champion of change, to set and achieve shared outcomes. Facilitate a collaborative team that provides customer-friendly services to patients, payers, and vendors.
    • Ensures compliance with all federal, state, and local regulations governing rendered patient services and reimbursement.
    • Will report and assist the CFO to implement strategic growth plans. Working with the finance team to ensure revenue is consistent with GAAP.
    • Design and administer all revenue cycle policies and procedures.
    • Spearhead contract negotiations with payor sources (i.e. federal health care programs and Third-Party)
    • Develop and lead new models of care using technology to meet consumer expectations.
    • Responsible for billing charge master, revenue integrity, insurance follow-up, denials management, payment variance, and collections.
    • Participates with leadership in developing budget, salary administration, equipment purchases and establishment of annual goals and objectives.
    • Ensures confidentiality is maintained by entire team regarding patient/client information in accordance with HIPAA, professional and departmental standards.
    • Promotes and practices AMM mission and values and follows its policies and procedures

    Knowledge, Skills And Abilities

    • Knowledge of organizational management, preferably in a health care setting.
    • Ability to plan, develop, implement, and evaluate policies and procedure through a management team.
    • Ability to formulate decision and communicate them in an authoritative and clear manner.
    • Ability to foster cooperative and effective working relationships with the management team, Board of Directors, business/community associates and other health care facilities and organizations.
    • Ability to work well as part of a professional team.
    • Demonstrated ability to communicate with patients and staff professionally and tactfully.
    • Professional and business-like in appearance and demeanor.

    Requirements And Qualification

    • A Minimum Bachelor's Degree in Business Administration and/or Accounting.
    • At least Five years’ experience working in areas of Healthcare revenue cycle management.
    • Medical Billing Certification (preferred)
    • Knowledge of Third-Party clinical billing, contractual and compliance regulations, along with a demonstrated understanding of automated processes, electronic data interchange and associated operational processes is preferred.
    • Advanced knowledge of NC Medicaid managed care reform and regulations.
    • Understanding of Advanced Medical Home Care Management requirements and functions
    • Strong communication and presentation skills, training/meeting facilitation skills essential.
    • Solid relationship building and interpersonal skills
    • Excellent writing, research and analytical skills
    • Excellent coordination skills, including multitasking and setting priorities on work
    • assignments
    • High degree of independence, flexibility, initiative and commitment
    • Ability to deal effectively with a variety of people

    Benefits

    • 401(k)
    • Health, Dental and Vision insurance
    • Employee assistance program
    • AFLAC
    • Paid time off
  • 7 Days Ago

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Director of Revenue Cycle Management
  • Atlantic Medical Management, LLC
  • Wilmington, NC FULL_TIME
  • Job DetailsDescriptionSummary:Atlantic Medical Management (AMM) is looking for an experienced Director of Revenue Cycle Management to join our organization. AMM is a corporate medical management firm ...
  • 8 Days Ago

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Case Management Director
  • Watertown Regional Medical Center
  • Henderson, NC FULL_TIME
  • Description Maria Parham Health Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. With 205 licensed beds, Maria Parham Healt...
  • 16 Days Ago

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Medical Director
  • Theoria Medical
  • Jacksonville, NC PART_TIME
  • Position Type: Part-time, exemptCompensation: Up to $400,000 annually monthly Medical Director StipendJob HighlightsWork-Life Balance: Competitive compensation with balanced hours.Weekend & On-Call Fr...
  • 2 Days Ago

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Medical Director
  • Theoria Medical
  • Bern, NC PART_TIME
  • Position Type: Part-time, exemptCompensation: Up to $400,000 annually monthly Medical Director StipendJob HighlightsWork-Life Balance: Competitive compensation with balanced hours.Weekend & On-Call Fr...
  • 2 Days Ago

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Medical Director
  • Theoria Medical
  • Morganton, NC PART_TIME
  • Position Type: Part-time, exemptCompensation: Up to $400,000 annually monthly Medical Director StipendJob Location: In personJob HighlightsWork-Life Balance: Competitive compensation with balanced hou...
  • 2 Days Ago

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Managing Director
  • Principal Financial Group
  • Miami, FL
  • Managing Director - Miami; Principal Financial Network 42364 Sales Regular Full-Time Miami, Florida No A048000-West Cent...
  • 6/11/2024 12:00:00 AM

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Managing Director, Conflict Management & Dispute Resolution
  • Dallas College
  • Dallas, TX
  • Position Summary The Managing Director of Conflict Management & Dispute Resolution will be responsible for effectively d...
  • 6/10/2024 12:00:00 AM

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Managing Director, Business Management
  • Applied Materials
  • Santa Clara, CA
  • Managing Director, Business Management page is loaded Managing Director, Business Management Apply locations Santa Clara...
  • 6/10/2024 12:00:00 AM

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Managing Director
  • Experis
  • Winston-Salem, NC
  • Build your career with Experis, a ManpowerGroup company as we connect human potential to the power of business. Through ...
  • 6/9/2024 12:00:00 AM

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Managing Director / Senior Managing Director - Debt Advisory
  • Oberon Securities, LLC
  • New York, NY
  • Oberon Securities, based in New York City, is seeking experienced Managing Directors with expertise raising asset, cash ...
  • 6/8/2024 12:00:00 AM

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Managing Director Investment Management
  • Leadenhall Search & Selection
  • Leadenhall Search & Selection are currently recruiting for Directors and Partners on behalf of a global, fast-growing In...
  • 6/8/2024 12:00:00 AM

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Senior Relationship Manager - Director - Managing Director
  • Deutsche Bank
  • Miami, FL
  • Job Description: Job Title Relationship Manager Corporate Title Director to Managing Director Location Miami, FL Overvie...
  • 6/7/2024 12:00:00 AM

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SVB - Managing Director- Relationship Management- Fund Banking
  • First Citizens Bank
  • Boston, MA
  • Overview: Together, Silicon Valley Bank and First Citizens offer you the strength and stability of a diversified financi...
  • 3/29/2024 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 Medical Management Director jobs
$148,305 to $198,608

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