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Senior Director Of Managed Care Jobs

Regional Director Of Managed Care
By Universal Health Services, Inc. - Corporate Office At , Temecula, 92590, Ca $200,000 - $240,000 a year
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.
Serves as resource to hospital executive management regarding pertinent industry insights and developments.
Benefits (Proceed as Guest) https://uhsbenefits.ehr.com/default.ashx?classname=splash
Maintains strong working relationship with managed care analytical reporting to improve negotiation goal setting and maximize contract performance.
Senior Operations Executive - Managed Care/ Medicare Advantage Expert
By Chicago Pacific Founders At United States

Based in Chicago and San Francisco, Chicago Pacific Founders ("CPF") is a leading strategic private equity firm focused on building and scaling companies within the healthcare services sector. This ...

Director Of Managed Care
By Randstad At Hendersonville, NC, United States
• Ensure that managed care programs meet regulatory requirements and are compliant with state and federal laws.
• Knowledge of healthcare regulations and managed care industry trends.
• Strong leadership skills and the ability to manage a team.
• Develop and implement managed care strategies that support the organization's goals and objectives.
• Collaborate with other departments to develop policies and procedures related to managed care programs.
• Develop and manage budgets for managed care programs and ensure that expenditures are within budgetary constraints.
Director Of Managed Care
By Jobot At Atlanta, GA, United States
Minimum of 5 years of experience in a senior role in managed care, preferably in the finance industry.
Proven experience in implementing managed care strategies.
Knowledge of local, state, and federal regulations related to managed care.
Flexible Schedule (Can be remote if needed)!
Develop and implement managed care strategies that align with the organization's financial goals.
Collaborate with cross-functional teams to ensure alignment of managed care strategies with overall business objectives.
Director Of Managed Transportation
By FitzMark At Atlanta, GA, United States
Collaborate internally with the carrier operations department and account management team to ensure FitzMark delivers best-in-class service
Minimum 2 years of managed transportation experience in 3rd party logistics
Explore opportunities within the company’s existing client base to expand the Managed Transportation network
Prepare managed transportation proposals, pricing, and fees in a timely manner with respect to customer strategy
Oversee execution and work collaboratively on implementation of Managed Transportation solutions
Prepare and present quarterly business reviews with client base to ensure optimal utilization of managed transportation services
Director, Managed Care Group
By USAJOBS At Baltimore, MD, United States
Oversees the development, coordination, and implementation of new and amended national Medicaid policy, as it relates to Medicaid Managed Care.
Leads and manages the review of new or proposed legislation related to Medicaid managed care and integrated health services.
Only experience obtained by the closing date of this announcement will be considered.
Business Acumen: The ability to manage human, financial, and information resources strategically.
Directs the review and approval of Medicaid related state plan amendments and waivers.
Leads and directs projects to analyze key Medicaid policy issues to support legislative, regulatory, policy and/or operational initiatives.
Vp Of Managed Care
By Vaco At Dallas, TX, United States
Strong financial management skills, including budgeting, forecasting, and cost control.
Strong knowledge of managed services delivery models, ITIL (Information Technology Infrastructure Library) frameworks, and industry best practices.
Deep understanding of emerging technologies and trends in the managed services space.
Strong problem-solving and decision-making abilities, with a focus on delivering results.
Excellent business acumen and the ability to develop and execute strategic plans in a competitive market.
Demonstrated ability to drive operational excellence, process improvement, and innovation.
Svp Of Managed Care
By LNCsearch At Dallas, TX, United States
A minimum of 3+ years of senior-level experience in managed care, preferably within the healthcare industry.
Strong leadership skills with a proven track record of managing successful managed care programs and initiatives.
Develop and implement comprehensive managed care strategies to optimize payer relationships, reimbursement models, and network performance.
Drive initiatives to enhance efficiency, cost-effectiveness, and quality within the managed care department.
Extensive knowledge of payer landscape, contracting, and reimbursement methodologies.
Exceptional negotiation, communication, and relationship-building abilities.
Director Of Managed Care
By Skaggs LTC At United States
Proficiency in using network management software and databases.
Work collaboratively with payers, including on payment resolution and necessary project management to resolve provider payment issues.
Stay updated on industry trends, regulatory changes, and market dynamics that may impact the managed care network
Strong knowledge of healthcare reimbursement methodologies, contracting principles, and network development strategies.
Excellent negotiation, analytical and problem-solving skills.
Knowledge of healthcare regulations, compliance and accreditation standards
Senior Director Of Care Coordination
By Accord At St Paul, MN, United States
Experience in budget development and management.
Experience in program development and implementation, preferably with a focus on services for individuals with disabilities.
Manage and supervise a high performing team poised for growth.
Using person-centered practices, coordinate services for individuals with disabilities among different health and social service professionals and across settings of care.
Minimum of 8 years of experience in a supervisory capacity.
Knowledge of health, social services, and funding sources that support individuals.
Managed Care Director Jobs
By LifeCare Health At , Addison, 75001, Tx

Develops and coordinates the execution and evaluation of hospital/region-specific managed care plans.

Regular attendance and timeliness is required.

Senior Director Of Care Management
By MyCare Medical Group At Fort Lauderdale, FL, United States
Extensive experience in care management, case management, or related roles, with progressive leadership responsibilities.
Oversee the day-to-day operations of the care management department, ensuring efficient workflows and adherence to regulatory requirements.
In-depth knowledge of care coordination principles, utilization management, discharge planning, and population health management.
Develop and execute the overall care management strategy aligned with organizational goals and objectives.
Provide visionary leadership and guidance to the care management team, ensuring the delivery of exceptional care services.
Identify areas for improvement and implement innovative care management initiatives to enhance patient care and outcomes.
Director Of Managed Care
By MultiPlan Inc. At , New York, 10003, Ny $100,000 - $160,000 a year
Highly developed negotiation and contract management skills with demonstrated ability to secure contracts
Accomplished in contract management tools
Ensures compliance with HIPAA regulations and requirements.
Minimum of 7 years' experience in a contracting role/provider relations
Extensive demonstrated knowledge of the health care industry with a thorough understanding of hospital reimbursement, contracting, and Medicare industry trends
A proactive, self-starter who possesses exceptional multi-tasking and communication skills.
Director Of Managed Services - Service Transition
By NWN Carousel At United States
Ensuring the adherence to a consistent, standardized service delivery model rooted in IT Service Management (ITSM) best practices.
Experience in forecasting, budgeting, and managing P&L responsibilities.
Strategic planning and management expertise
Demonstrated success in building teams and optimizing workforce management
The following are minimum qualifications and requirements required for this role:
10+ Years experience in the IT industry with a focus on Service Delivery.
Consulting Director - Healthcare, Managed Care
By Huron Consulting Group Inc. At , Chicago, 60607, Il
Demonstrated change management expertise and experience positively influencing change in a variety of complex environments
Team Leadership experience including building talent, direct supervisory experience, coaching, mentorship and performance management
Strong organizational and prioritization skills to manage complex managed care and strategy projects
Experience in managed care contracting, including negotiation techniques and market analysis
Strong experience in QA of team deliverables including Excel and if possible Access or other databases
Current permanent U.S. work authorization required
Director, Managed Care Jobs
By Pentec Health At ,
Computer experience to include the following: Microsoft Office Suite, Strong excel skills & CPR+ or similar platform
DME Managed Care experience is highly preferred but not required.
Bachelor’s Degree (BA, BSN) or equivalent work experience. (MBA, R.D, is preferred but not required)
Positive communication and teamwork skills and a documented ability to work with all levels of personnel
Strong analytical skills, highly organized, and detail oriented
Outstanding communication , listening and presentation skills required
Senior Director, Managed Markets And Field Access
By PharmaEssentia At Burlington, MA, United States
Managed care experience required with strong National and Regional Account Management experience within both commercial (private) and government (public) payer systems
Excellent oral and written communication skills for effectively interfacing with all levels of management and departments within the company
10-12 years pharmaceutical commercial experience with key experiences operating within the managed markets space and experience leading field-based teams
Develop national account team strategies to ensure product coverage, payer access, provider reimbursement, and improve pull-through capabilities
At least 5 years of experience in oncology, preferable hematology oncology, with biologics
Strong technical/analytical skills to identify and solve problems
Senior Director Managed Care
By Steward Health Care At , Westwood, 02090, Ma
Bachelors degree or equivalent combination of education and experience; Master degree preferred.
Contribute to overall development of Managed Care strategy and tactics for the applicable region to maximize Steward value.
Demonstrated strong knowledge in developing and assessing risk and FFS reimbursement models.
Minimum of five to seven years operations experience in a health plan preferably including both commercial and government contracting.
Driving risk-based Integrated system contracts balancing rate and risk provisions.
Lead the execution of negotiating contracts to achieve the strategic objectives.

Are you an experienced managed care professional looking for a new challenge? We are seeking a Senior Director of Managed Care to join our team and lead our managed care strategy. You will be responsible for developing and implementing innovative strategies to improve the quality and cost-effectiveness of our managed care programs. If you have a passion for improving healthcare and are looking for an opportunity to make a real impact, this is the job for you!

Overview:

The Senior Director of Managed Care is responsible for developing and implementing strategies to maximize the organization’s managed care contracts and reimbursement. This position is responsible for developing and maintaining relationships with managed care organizations, negotiating contracts, and monitoring and evaluating performance.

Detailed Job Description:

The Senior Director of Managed Care is responsible for developing and implementing strategies to maximize the organization’s managed care contracts and reimbursement. This position is responsible for developing and maintaining relationships with managed care organizations, negotiating contracts, and monitoring and evaluating performance. The Senior Director of Managed Care will also be responsible for developing and maintaining a comprehensive managed care program, including the development of policies and procedures, and the implementation of strategies to ensure compliance with all applicable laws and regulations.

What is Senior Director Of Managed Care Job Skills Required?

• Knowledge of managed care principles, practices, and procedures
• Ability to develop and implement strategies to maximize managed care contracts and reimbursement
• Ability to negotiate contracts with managed care organizations
• Ability to analyze and interpret data
• Excellent communication and interpersonal skills
• Ability to work independently and as part of a team
• Ability to manage multiple projects and prioritize tasks
• Knowledge of applicable laws and regulations

What is Senior Director Of Managed Care Job Qualifications?

• Bachelor’s degree in healthcare administration, business administration, or related field
• Minimum of five years of experience in managed care
• Experience in contract negotiation and managed care reimbursement
• Knowledge of applicable laws and regulations
• Ability to analyze and interpret data
• Excellent communication and interpersonal skills

What is Senior Director Of Managed Care Job Knowledge?

• Knowledge of managed care principles, practices, and procedures
• Knowledge of applicable laws and regulations
• Knowledge of contract negotiation and managed care reimbursement

What is Senior Director Of Managed Care Job Experience?

• Minimum of five years of experience in managed care
• Experience in contract negotiation and managed care reimbursement

What is Senior Director Of Managed Care Job Responsibilities?

• Develop and implement strategies to maximize managed care contracts and reimbursement
• Negotiate contracts with managed care organizations
• Develop and maintain a comprehensive managed care program
• Monitor and evaluate performance of managed care contracts
• Analyze and interpret data
• Develop and maintain relationships with managed care organizations
• Ensure compliance with all applicable laws and regulations