Managed Care Finance Director jobs in Montgomery, AL

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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American Family Care - Regional Medical Director
  • American Family Care
  • Montgomery, AL FULL_TIME
  • Summary:  At American Family Care, it is our mission to provide the best healthcare possible in a kind and caring environment while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient.   
     
    Our Regional Medical Directors are essential members of our team in delivering mission-driven healthcare.  We are looking for outstanding physician executives to join our team. 
     
    Our Regional Medical Director will have the following responsibilities: 
     
    Delivering the Best Healthcare Possible 
     
    • Utilizes site-specific and individual-specific data to help drive change 
    • Monitors lab and x-ray review process and ensures they are completed 
    • Supports the moderate-complexity lab as the medical director  
    • Works with leadership to develop clinical pathways to reduce unwarranted practice variation and measure for success 
    • Completes quality of care incident reports as assigned and utilizes findings to help individuals, sites, and the organization improve  
    • Develops a project per year to improve quality, safety, service and value 
    • Provides clinical oversight of APPs as required 
    • Supports the peer review process 
     
    Respecting the Rights of All of Our Patients  
    • Mentors, coaches and develops members of the team utilizing qualitative and quantitative data 
     
    Creating a Kind and Caring Environment  
    • Completes performance reviews  
    • Partners with recruiting to find talent and build teams 
    • Leads meetings and staff meetings as assigned 
    • Participates and leads in committee and work group meetings 
    • Develops educational programming and support as assigned 
    • Builds community relationships 
     
    Caring for Patients at Times and Locations Convenient to the Patient 
    • Ensures DOT training and testing is completed on new hires within 90 days 
    • Provides afterhours call as needed for clinics experience. 
     
    Delivering Care in an Economical Manner 
    • Develops department budgets and capital budgets with operational partners 
    • Helps to ensure appropriate volumes of patients being seen at the clinics 
    • Ensures appropriate documentation is completed for visits by working with RCM 
    • Supports providers in completing coder feedback 
    • Works across providers to ensure “visits on hold” are complete 
     
    Basic Qualifications 
    • 5 Years of Clinical Experience in Primary Care, Urgent Care, or Emergency Medicine 
    • 2 Years of Experience in Previous Medical Leadership Role 
    • Ability to Travel to Sites Across a Region as Needed 
    • Licensed provider in the state of practice 
    • Ability to work well independently evaluating and managing patients 
    • Ability to work well in a fast-paced environment 
    • Friendly and customer-service oriented 
    • Able to work well in team environment 
    • DOT certification or the ability to be certified within 90 days of employment 
     
    Preferred Qualifications 
    • CPR training 
    • Performance Improvement Training and Experience 
    • MBA, MHA or Other Advanced Degree 
     
     
    Our Regional Medical Director Team is essential in delivering upon our mission through the delivery of outstanding clinical care for 70-80% of their time with 20-30% of this time dedicated to administrative duties across a market. 
     
  • 2 Months Ago

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Customer Service Representative (CSR 1)
  • Kinsmith Finance
  • Prattville, AL FULL_TIME
  • CSRs are responsible for the successful management of customer relationships that lead to meeting monthly office performance goals. Essential responsibilities include: Superior Customer Service and Re...
  • 1 Day Ago

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American Family Care - Regional Medical Director
  • American Family Care Corporate Office
  • Montgomery, AL FULL_TIME
  • Summary: At American Family Care, it is our mission to provide the best healthcare possible in a kind and caring environment while respecting the rights of all patients, in an economical manner, at ti...
  • 21 Days Ago

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Specialist, Managed Services
  • OWL Services
  • Montgomery, AL FULL_TIME
  • Quiénes somosOWL Services es el principal proveedor de ventas, instalación, gestión de programas y servicios para empresas minoristas, comerciales, de flotas, de aviación y marinas, y de generación de...
  • 27 Days Ago

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Critical Care Director
  • Vaughan Regional Medical Center
  • Selma, AL OTHER
  • DescriptionThe Nursing Division Manager is responsible for promoting and maintaining quality patient care through effective management of the activities of the total patient care services as outlined ...
  • 18 Days Ago

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Director of Critical Care
  • iSHR
  • Selma, AL FULL_TIME
  • About the job Director of Critical Care Job Title: Director of Critical Care Level: Senior Reports To: Chief Nursing Officer (CNO) Vacant Since: Less than 30 days Vacancies: 1 Travel Required: Travel ...
  • Just Posted

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0 Managed Care Finance Director jobs found in Montgomery, AL area

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Director, Sales Account Management
  • Concentrix
  • Montgomery, AL
  • Job Title: Director, Sales Account Management Job Description **Director, Sales Account Management, Retail Vertical** At...
  • 4/25/2024 12:00:00 AM

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Finance and Program Associate
  • Career Personnel
  • Montgomery, AL
  • Job Description Job Description OVERVIEW OF RESPONSIBLITIES The Finance and Program Director is responsible for planning...
  • 4/24/2024 12:00:00 AM

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Sr. Financial Analyst
  • Baptist Medical Center South
  • Montgomery, AL
  • Job DescriptionDescriptionBaptist Health is the largest healthcare system serving central Alabama, providing comprehensi...
  • 4/23/2024 12:00:00 AM

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Internal Revenue Agent (Examination Analyst - Examiner) 12 MONTH ROSTER - AMENDED
  • Department Of The Treasury
  • Montgomery, AL
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

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Senior Internal Revenue Agent-Senior Program Analyst (12 month roster) AMENDED
  • Department Of The Treasury
  • Montgomery, AL
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONALDIVISION? A description of the business units can be found at: https:...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
  • Department Of The Treasury
  • Montgomery, AL
  • Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

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Remote Regulatory Compliance Analyst (Insurance Industry)
  • National General Insurance
  • Montgomery, AL
  • Job Description Position/Title: Remote Regulatory Compliance Analyst (Insurance Industry) ** NOTES: Ideal candidate will...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Reviewer - Examiner) Temp NTE 1 Yr., MBE, MBMP 12 MONTH ROSTER (Amended)
  • Department Of The Treasury
  • Montgomery, AL
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 4/21/2024 12:00:00 AM

Montgomery is the capital city of the U.S. state of Alabama and the county seat of Montgomery County. Named for Richard Montgomery, it stands beside the Alabama River, on the coastal Plain of the Gulf of Mexico. In the 2010 Census, Montgomery's population was 205,764. It is the second most populous city in Alabama, after Birmingham, and is the 118th most populous in the United States. The Montgomery Metropolitan Statistical Area's population in 2010 was estimated at 374,536; it is the fourth largest in the state and 136th among United States metropolitan areas. The city was incorporated in 18...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$126,662 to $163,665
Montgomery, Alabama area prices
were up 1.3% from a year ago

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