Managed Care Finance Director jobs in Cincinnati, OH

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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Corporate Director of Managed Care and Contracting
  • CommuniCare Family of Companies
  • Blue, OH FULL_TIME
  • Corporate Director of Managed Care and Contracting

    Since 1984, the CommuniCare Family of Companies has been committed to delivering exceptional person-centered care as a national leader in post-acute care for those that are chronically ill or have complex conditions.

    Our more than 150 skilled nursing, assisted living, independent living, behavioral health and long-term care facilities deliver sophisticated and transformative care to nearly 16,000 residents and patients at any given time. CommuniCare employs more than 19,000 employees across seven states (Ohio, Indiana, Maryland, Virginia, West Virginia, Pennsylvania, Missouri).

    CommuniCare is looking to fill the key position of Corporate Director of Managed Care to oversee strategy and development for all Managed Care Services and Contracting for the LTC and New Vista lines of business. The Corporate Director is responsible for full managed care contract life-cycle support, including new business and revenue development through continued clinical integration and market expansion.

    Duties will include the development and implementation of a strategic plan with regard to these payors, overseeing and leveraging existing relationships, and identifying the objectives necessary for the company to succeed as health care systems change. 

    Desired Skills and Experience:

    • The qualified candidate will have extensive knowledge and relevant work experience in the Managed Care/insurance sectors including network planning/development, contract negotiations, etc.
    • Must have presentation experience, excellent written and verbal communication skills, and ability to supervise and organize staff functions. Five (5) years of management experience in related position is preferred. Experience with Long Term Care contracting is a must.
    • Proficient knowledge of medical contracting methodologies and claims pricing/reimbursement strategies 
    • Independent thinker and decision maker 
    • Strong analytical and problem-solving skills with attention to detail 
    • Excellent verbal and written communication 
    • Strategic business partner 
    • Proficient computer skills and knowledge of Microsoft Office specifically Excel 
    • Ability to prioritize and manage multiple projects 
    • Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction
    • This positon reports to the VP of Revenue Cycle

    Benefits

    As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer full time employees a menu of benefit options from life and disability plans to medical, dental, and vision coverage from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts.

    About Us

    A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another.

  • 26 Days Ago

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Managed Care Nurse Staff
  • Western & Southern Financial Group
  • CINCINNATI, OH FULL_TIME
  • Overview Summary of Responsibilities: Provides concurrent and retrospective utilization reviews, large case management, disability case management and other programs to improve the quality of medical ...
  • Just Posted

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Managed Care Biller
  • CommuniCare Family of Companies
  • Cincinnati, OH FULL_TIME
  • Managed Care BillerDue to Company growth, CommuniCare Health Services is currently recruiting a Managed Care Biller for our Corporate Managed Care Billing Department.PURPOSE/BELIEF STATEMENTThe positi...
  • 4 Days Ago

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Managed Care Biller
  • CommuniCare Family of Companies
  • Cincinnati, OH FULL_TIME
  • Managed Care BillerDue to Company growth, CommuniCare Health Services is currently recruiting a Managed Care Biller for our Corporate Managed Care Billing Department.PURPOSE/BELIEF STATEMENTThe positi...
  • 4 Days Ago

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Managed Care Biller
  • CommuniCare Family of Companies
  • Blue, OH FULL_TIME
  • Managed Care BillerDue to Company growth, CommuniCare Health Services is currently recruiting a Managed Care Biller for our Corporate Managed Care Billing Department.PURPOSE/BELIEF STATEMENTThe positi...
  • 1 Month Ago

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Managed Care Nurse
  • Western & Southern Financial Group
  • CINCINNATI, OH FULL_TIME
  • Overview Summary of Responsibilities: Provides concurrent and retrospective utilization reviews, large case management, disability case management and other programs to improve the quality of medical ...
  • 1 Month Ago

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0 Managed Care Finance Director jobs found in Cincinnati, OH area

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Corporate Controller
  • OPW, a Dover Company
  • Hamilton, OH
  • OPW is currently seeking a Corporate Controller, based in our Hamilton, OH (greater Cincinnati, OH area) headquarters lo...
  • 4/23/2024 12:00:00 AM

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CRM Manager
  • Burtch Works
  • Cincinnati, OH
  • Title: CRM Manager Location: Cincinnati, OH Role Type: Permanent Salary: 100-125K + Bonus Location Type: Onsite Job Desc...
  • 4/23/2024 12:00:00 AM

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VP of Operations
  • noLimits Enterprises
  • Cincinnati, OH
  • noLimits Enterprises is looking for a passionate and experienced VP of Operations to lead strategic and logistics aspect...
  • 4/22/2024 12:00:00 AM

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Finance Manager
  • Us Bank
  • Cincinnati, OH
  • At U.S. Bank, were on a journey to do our best. Helping the customers and businesses we serve to make better and smarter...
  • 4/22/2024 12:00:00 AM

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Financial Planning and Analysis Manager
  • Jedson Engineering
  • Cincinnati, OH
  • POSITION TITLE: FP&A Analyst - Jedson Engineering LOCATION: Cincinnati OH WHO WE ARE: At Jedson Engineering, we’re focus...
  • 4/22/2024 12:00:00 AM

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Senior Compensation Analyst
  • Total Quality Logistics
  • Cincinnati, OH
  • About the role: A Senior Compensation Analyst position fulfills a vital role within TQL's Human Resource Department by t...
  • 4/21/2024 12:00:00 AM

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VP of Operations
  • Nolimits Enterprises
  • Cincinnati, OH
  • noLimits Enterprises is looking for a passionate and experienced VP of Operations to lead strategic and logistics aspect...
  • 4/20/2024 12:00:00 AM

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Financial Planning and Analysis Manager
  • Jedson Engineering
  • Cincinnati, OH
  • POSITION TITLE:FP&A Analyst - Jedson Engineering LOCATION: Cincinnati OH WHO WE ARE: At Jedson Engineering, were focused...
  • 4/20/2024 12:00:00 AM

Cincinnati (/ˌsɪnsɪˈnæti/ SIN-sih-NAT-ee) is a major city in the U.S. state of Ohio, and is the government seat of Hamilton County. Settled in 1788, the city is located at the northern side of the confluence of the Licking and Ohio rivers, the latter of which marks the state line with Kentucky. The city drives the Cincinnati–Middletown–Wilmington combined statistical area, which had a population of 2,172,191 in the 2010 census making it Ohio's largest metropolitan area. With a population of 296,943, Cincinnati is the third-largest city in Ohio and 65th in the United States. Its metropolitan ar...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$139,500 to $180,252
Cincinnati, Ohio area prices
were up 1.1% from a year ago

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