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)
ScionHealth is recruiting for a Director of Managed Care Analytics to join our team!
Job Summary
The Director of Managed Care Analytics is responsible for supporting the Vice President Managed Care as well as the Managed Care Contracting team in contract modeling, strategic planning, budgeting, financial analysis, and evaluating potential acquisitions. This role supports managed care, hospital operations, and physician operations across the ScionHealth enterprise by providing analysis managed care financial metrics, including but not limited to volume trends, contract yield, financial performance analysis, benchmarking, and trend analyses to support strategic pricing.
Primary Responsibilities
Education
Bachelor's degree in Business Administration, Accounting, Finance, or commensurate experience in Health Care or Managed Care industry.
Licensure/Certification
Project Management certification preferred, but not required.
Experience
8-10 years of progressive experience in financial and data analysis in the Healthcare industry.
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0 Managed Care Finance Director jobs found in Nashville, TN area