Managed Care Finance Director jobs in Fayetteville, NC
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
Director of Finance
- North Carolina Community Health Center Association
-
Lillington, NC
FULL_TIME
-
Please include a Cover Letter with Resume for Consideration
SUMMARY:
The Director of Finance (DOF) will oversee and serves as the manager of all financial activities/operations and ensure the corporation. Develops and executes financial policies and procedures. Principal responsibilities include overseeing the financial reporting, short range and long-term financial planning, general accounting, subsidiary corporation implementation and billing, audit coordination, taxes, banking, and monthly cash flow. Directly accountable for the functions of the general ledger, payroll, accounts payable, accounts receivable, grants accounting, budget preparation, logistics functions, information management systems and other related operations as may be necessary. Position may involve the performance management of subordinate employees.
Inputs for self and subordinates will include direct observation, financial-related measures (operating performance, balance sheet, cash days on hand, accounts receivable metrics, ratio analysis, etc.), operational efficiency measures, and other related outcome measures.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
Key Performance Area I: Billing and Collections- Ensures the full timely collection of receivable funds, reports related performance measures;
- Provides oversight of office procedures and policies regarding billing and collections. Ensure systems are in place to record, report, and improve the revenues and the cash flow of the organization;
- Performs semi-annual internal audit of fee schedules, billed charges, billing procedures, and other processes and procedures;
- Ensures organization reports monthly by-site status towards a daily productivity goal of 36 patients a day for medical sites and 18 per day at the Dental Clinic;
- Reports all financial metrics accurately, completely, and on-time per financial scorecard table.
Key Performance Area II: Financial Operations Management- Ensures quality of all measurement systems, ensuring precision and accuracy of reportable financial information;
- Directs and coordinates the establishment of annual budget. Develops and reviews all program budgets with input from stakeholders; coordinates and assists in such efforts as necessary;
- Develops goals, policies and procedures for the effective financial operations of the corporation and to assure fiscal solvency and appropriate controllership policies for same.
- Responsible for budgeting and capital development efforts with funding sources.
- Prepares and assures timely submission of all regulatory reports i.e. UDS, IRS and tax returns including annual Form 990 prepared by agency independent accountants, Medicaid and Medicare cost reports, to include quarterly and annual filings.
- Assures timely and accurate completion of annual agency audit---including preparation and storage of appropriate financial data for auditing purposes.
- Analyzes operational issues impacting functional groups and the whole institution, and determines their financial impact.
- Immediately alerts CEO of any variances from established goals and targets.
- Reviews for adequate insurance coverage for center(s) to include Property and Casualty, Workers Comp, Key Risk Liability for Directors and Officers.
Key Performance Area III: Bookkeeping and Accounting- Manages, directs and advises in maintaining the general ledger, accounts receivable, accounts payable, payroll, capital improvement plan, equipment replacement program, and all other accounting operations;
- Implements and monitors compliance with current accounting policies and procedures. Analyzes and develops alternatives for changing policies and procedures that promote efficiency, control, and quality in the accounting process.
Key Performance Area IV: Asset Management (physical and financial)- Responsible for the inventory and capitalization of all agency equipment, computers, etc., per federal HHS guidelines and accounting practices;
- Directs activities such as custodian of funds, securities, and assets of the organization;
- Maintains and provides for safeguard of assets; Serves as custodian of funds, and securities of the organization;
- Physical Asset Management activity
- Generate return while minimizing risk of capital loss
Key Performance Area V: Strategic Planning Support- Supports with the implementation and reporting of metrics related to financial goals and objectives;
- Provides timely, accurate, concise, and comprehensive information related to policies and BPHC program expectations, presented in a clear easily-understood manner;
- Directs and analyzes studies of general economic, business, and financial conditions and their impact on the organization's policies and operations;
- Appraises the organization's financial position and a monthly aggregate and by-site scorecard update related to key financial metrics related to balance sheet, income statement, payer mix, and cash flow position.
- Participates in the financially assessment of new product and/or service line opportunities (cost-benefit analysis) as well the feasibility (feasibility studies) of potential partnership/alliance opportunities;
- Responsible for submitting and coordinating preparation of all financial reporting requirements including Medicare/Medicaid Cost Reports, UDS, FSR, required data and finance reports for the BPHC and internal financial management reports.
- Oversees the Sliding Fee Financial Assistance program.
Key Performance Area VI: Financial Reporting- Communicates financial measures and analysis to management team and the board of directors, apprising the CEO of any major and/or adverse trends in financial operations
- Provides guidance and advice to the CEO, the Board, and other members of senior management on financial and business issues. Attends Board of Directors meetings, provides monthly report to Board, and serves on Board Finance Committee;
- Provides thought leadership in recommending the company's financial strategies and may be asked for input on setting the corporation's overall strategic direction;
- Develops, interprets, coordinates, and communicates policies related to finance, accounting, budgeting, insurance, financial/accounting systems, internal controls, and auditing;
- Assists in preparation of federal grant application and assists CEO in evaluating new grant opportunities and with completion of applications.
- Supports senior leadership with the preparation of grants, particularly as related to financial statements and projections
- Assists Human Resources with the corporate retirement plan
Key Performance Area VII: Purchasing and Vendor Relations- Manages vendors to ensure accountability for quality deliverables per specifications; alerts CEO of any variances or quality/timeliness concerns;
- Helps with the assessment of internal management of activities relative to external vendor administration;
- Oversee the procurement of supplies, services, banking needs. Obtain quotes (or administers RFP process) to procure the best services and supplies in most economical manner.
- Manages the purchasing activities of the health center and provide guidance on vendor contracts; Performs annual review of all contracts; Completes the following activities:
- Vendor comparison and selection process using clear criterion
- Timely submission of purchase orders and payment of invoices
- Identification of cost-savings and/or value enhancement opportunities
- Review of requisitions and matching
- Compliances with policies and procedures
- Coding invoices to general ledger accounting
- Managing purchasing staff
COMPETENCIES:
The competencies listed below are representative of the knowledge, skills, and/or abilities which must be consistently demonstrated for this job. Each of the following competencies will be evaluated as part of Performance Evaluation according to the following scale:- Accuracy of Work - Completes all work with high quality and attention to detail. Avoids re-work and/or frequent need for corrections.
- Adaptable to Change - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
- Attendance/Punctuality - Is consistently at work and on time; Ensures
- work responsibilities are covered when absent; Arrives at meetings and
- appointments on time.
- Analytical Skill-Strong analytical, reporting, and data presentation skill; ability to convert raw data into meaningful strategic information presented in graph or table format and relevant to guide senior decision-making.
- Coachability- Responds to coaching feedback in a positive manner; desires to grow in role; follows through on improvement plans resulting in observable and measurable improvement.
- Communication to Person Reporting- Communicates frequently (as needed) with person reporting to all necessary information, including project status, work-related issues or concerns, as well as concerns, questions, or suggestions. Is accessible and responds quickly to calls and e-mail attempts.
- Communication to Subordinates- Is available and accessible to subordinate employees; keeps subordinates informed as it relates to company information. Able to tactfully assess and address poor performance; quickly identifies issues needing corrective action; reports such actions to CEO.
- Compliance- Consistently complies with all established company standard operating processes and procedures.
- Cost Consciousness -Conducts Cost-Benefit-Analysis (CBA) with projects and vendor relationships; Works within approved budget; Develops and implements cost saving measures; Contributes to profits and revenue; Conserves organizational resources.
- Customer Service-Responds promptly to internal and/or external customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
- Dependability and Follow-through - Follows through on requests and/or instructions (the first time), responds to management direction; Takes responsibility for own actions; Keeps commitments; provides status updates without requests.
- Effectiveness in Role-Ultimately effective in contributing to measurable strategic goals and objectives of the organization.
- Ethical Standards- Understands and models organizational values; Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically.
- Flexibility- Flexible in terms of role and schedule.
- Initiative - Volunteers readily; Undertakes self-development activities; Seeks increased responsibilities; Takes independent actions and calculated risks; Looks for and takes advantage of opportunities; Asks for and offers help when needed.
- Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
- Judgment - Displays willingness to make decisions; Models an effective decision-making process; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
- Leadership - Exhibits confidence in self and others; Inspires and motivates others to perform well; Effectively influences actions and opinions of others; Accepts feedback from others; Gives appropriate
- recognition to others.
- Motivation- Puts forth full effort; Sets and achieves challenging goals; Demonstrates persistence and overcomes obstacles; Measures self against standard of excellence; Takes calculated risks to accomplish goals.
- Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives; Organizes or schedules other people and their tasks; Develops realistic action plans.
- Problem Solving Skills - Identifies and resolves problems in a timely and effective manner; Addresses root-causes of recurrent problems; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics; Seeks help when needed.
- Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments; Maintains a professional appearance.
- Quantity and Productivity - Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly.
- Strategic Thinking - Understands mission, strategic goals, objectives, and measures and understands how their area impacts organization; Develops strategies to achieve organizational goals; Understands organization's strengths & weaknesses.
- Teamwork with Peers and Other Functions- Balances functional and organizational responsibilities; Contributes to upstream and downstream processes; Works well with peers, superiors, and subordinates.
- Technical Skills-Understands the technical aspects of functional area; Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others; Stays current with industry/technical changes.
- Timeliness of Work Completion- Completes work on-time and on-schedule; prioritizes, provides frequent unsolicited status updates regarding more involved projects.
- Verbal and Presentation Skills- Speaks clearly and effectively; able to effectively prepare for and present to a group.
- Written Communication - Writes clearly and informatively (grammar and spelling); Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information; Able to write in format ideal for grant-writing application.
SUPERVISORY RESPONSIBILITIES:
Carries out supervisory responsibilities in accordance with the organizations policies and applicable laws. Responsibilities include interviewing, hiring and training employees; planning, assigning and directing work, appraising performance reward and disciplining of employees; addressing complaints and resolving - 1 Month Ago
Director of Finance and Operations
- First Choice Community Health Centers
-
Lillington, NC
FULL_TIME
- The Director of Finance and Operations will oversee and serves as the manager of all financial activities/operations and ensure the corporation’s financial health. Develops and executes financial poli...
- 27 Days Ago
Center Director
- Learning Care Group
-
Carthage, NC
FULL_TIME
- Join a strong community where all we do is care-for the children and families we serve every day, as well as for our dedicated team members. Our people are our best asset. We listen and we know what y...
- 2 Days Ago
Director of Nursing
- Century Care Management
-
Fayetteville, NC
FULL_TIME
- Located in Fayetteville, NC, Whispering Pines Nursing and Rehabilitation has been committed to quality healthcare for over 30 years and is one of the leading providers of long-term and short-term care...
- 2 Days Ago
Preschool Director
- Learning Care Group
-
Raeford, NC
FULL_TIME
- Join a strong community where all we do is care-for the children and families we serve every day, as well as for our dedicated team members. Our people are our best asset. We listen and we know what y...
- 5 Days Ago
Activity's Director
- Century Care Management
-
Fayetteville, NC
FULL_TIME
- This facility's activities program is directed by a qualified professional. Definitions: "Recognized accrediting body" refers to those organizations that certify, register, or license therapeutic recr...
- 2 Months Ago
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0 Managed Care Finance Director jobs found in Fayetteville, NC area
Account Executive
- Aspire Partners USA
-
Fayetteville, NC
- Aspire Partners seeks current or former Business Professionals, Executives, B2B Sales reps, Finance executives, CFOs, CO...
- 4/17/2024 12:00:00 AM
Billing Manager
- First Choice Community Health Centers
-
Lillington, NC
- SUMMARY: Responsible for billing and collections for Medicare, Medicaid, Insurance, and Self-Pay patients for all FQHC M...
- 4/17/2024 12:00:00 AM
GSA- Front Desk Receptionist (NG)
- Commwellhealth
-
Dunn, NC
- ** GSA- Front Desk Receptionist (NG)** **Job Category****:** Administration **Requisition Number****:** GSAFR01049 Showi...
- 4/17/2024 12:00:00 AM
Corporate Admin - Fuquay-Varina
- Quality Equipment, LLC
-
Fuquay-Varina, NC
- Job Description Job Description We are a John Deere dealer with 36 locations serving a diverse group of agricultural, co...
- 4/15/2024 12:00:00 AM
Financial Advisor
- Equitable Advisors
-
Lumberton, NC
- About the job If you want to unlock your potential as a Financial Advisor, apply to join our team at Equitable Advisors!...
- 4/15/2024 12:00:00 AM
Financial Advisor
- Equitable Advisors
-
Pinehurst, NC
- About the job If you want to unlock your potential as a Financial Advisor, apply to join our team at Equitable Advisors!...
- 4/15/2024 12:00:00 AM
GSA- Front Desk Receptionist (NG Dental)
- Commwellhealth
-
Dunn, NC
- ** GSA- Front Desk Receptionist (NG Dental)** **Job Category****:** Administration **Requisition Number****:** GSAFR0101...
- 4/14/2024 12:00:00 AM
Associate Personal Banker-Southern Pines
- WELLS FARGO BANK
-
Southern Pines, NC
- Why Wells Fargo: Are you ready for the next step in your career? This is where it begins - at a company known for our "W...
- 4/14/2024 12:00:00 AM
About Fayetteville, North Carolina
Fayetteville (/ˈfeɪətˌvɪl/) is a city in Cumberland County, North Carolina, United States. It is the county seat of Cumberland County, and is best known as the home of Fort Bragg, a major U.S. Army installation northwest of the city.
Fayetteville has received the All-America City Award from the National Civic League three times. As of the 2010 census it had a population of 200,564, with an estimated population of 204,408 in 2013. It is the 6th-largest city in North Carolina. Fayetteville is in the Sandhills in the western part of the Coastal Plain region, on the Cape Fear River.
With an estima...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$129,658 to $167,535
Fayetteville, North Carolina area prices
were up 1.5% from a year ago
were up 1.5% from a year ago
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