Managed Care Finance Director jobs in Rochester, MN

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)

M
RN Care Manager
  • Managed Health Services Wisconsin
  • Nelson, WI FULL_TIME
  • You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. * We are currently offering a $5,000 sign-on bonus for this position * ** This hybrid remote role requires less than 50% travel in Milwaukee / Appleton area and candidates will have the flexibility to work remotely from their home the remaining time ** Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. • Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options • Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes • Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients • Provide patient and provider education • Facilitate member access to community based services • Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan • Actively participate in integrated team care management rounds • Identify related risk management quality concerns and report these scenarios to the appropriate resources. • Case load will reflect heavier weighting of complex cases than Care Manager I, commensurate with experience • Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems • Direct care to participating network providers • Perform duties independently, demonstrating advanced understanding of complex care management principles. • Participate in case management committees and work on special projects related to case management as needed Education/Experience: Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred. 2 years of clinical nursing experience in a clinical, acute care, or community setting and 1 years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs.Licenses/Certifications: Current state’s RN license and a valid driver's license Pay Range: $66,100.00 - $118,900.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

    About the Company:
    Managed Health Services Wisconsin



  • 1 Month Ago

E
Director - Business Finance
  • Eka Software Solutions
  • Karnataka, MN FULL_TIME
  • About us:Eka Software Solutions is the N0. 1 Commodity Management Platform in the world. Eka is the global leader in providing digital commodity management solutions driven by Cloud, Blockchain, Machi...
  • 20 Days Ago

U
Director of Finance and Advancement Services
  • University of Wisconsin System
  • Menomonie, WI FULL_TIME
  • Director of Finance and Advancement Services The University Advancement department is looking for a Director of Finance and Advancement Services. This position is responsible for designing and impleme...
  • 22 Days Ago

M
Assistant Finance Director
  • Minnesota City Jobs
  • Faribault, MN FULL_TIME
  • The Assistant Finance Director is responsible for the supervision and performance management of highly technical and detailed accounting work related to the overall organization, including the Economi...
  • 11 Days Ago

C
Assistant Finance Director
  • City of Faribault
  • Faribault, MN FULL_TIME
  • PRIMARY OBJECTIVE OF POSITIONThe Assistant Finance Director is responsible for the supervision and performance management of highly technical and detailed accounting work related to the overall organi...
  • 13 Days Ago

B
Executive Director of Finance and Operations
  • Byron Public School District #531
  • Byron, MN FULL_TIME
  • JobID: 1130 Position Type: Administration/Business Manager Date Posted: 12/14/2023 Location: District Office Date Available: 02/01/2024 Position Title: Executive Director of Finance and Operations Typ...
  • 1 Month Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Managed Care Finance Director jobs found in Rochester, MN area

T
Retail General Manager
  • TriSearch
  • Rochester, MN
  • Store Manager - Rochester, Minnesota People’s Food Coop, a community-based grocery store, is looking for a Store Manager...
  • 4/25/2024 12:00:00 AM

E
Director of Human Resources
  • Express Employment Professionals - Rochester, MN
  • Rochester, MN
  • Director of Human Resources Responsibilities The HR Director will oversee every facet of the Human Resource Department, ...
  • 4/24/2024 12:00:00 AM

S
Environment, Health and Safety Manager
  • Sky Consulting Inc.
  • Rochester, MN
  • No Sponsorship is available now or in the Future. Relocation Assitance Yes Experience as an EHS Manager in Manufacturing...
  • 4/23/2024 12:00:00 AM

D
Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED
  • Department Of The Treasury
  • Rochester, MN
  • Duties WHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION? A description of the business units can be found at: https://www...
  • 4/22/2024 12:00:00 AM

S
Environment, Health and Safety Manager
  • Sky Consulting Inc.
  • Rochester, MN
  • No Sponsorship is available now or in the Future. Relocation Assitance : Yes Experience as an EHS Manager in Manufacturi...
  • 4/22/2024 12:00:00 AM

E
Director of Human Resources
  • Express Employment Professionals - Rochester Mn
  • Rochester, MN
  • Director of Human Resources Responsibilities The HR Director will oversee every facet of the Human Resource Department, ...
  • 4/22/2024 12:00:00 AM

E
Branch Office Administrator
  • Edward Jones
  • Zumbrota, MN
  • Would you call yourself a relationship builder, a problem solver or a critical thinker? If you answered yes, we need you...
  • 4/15/2024 12:00:00 AM

E
Branch Office Administrator
  • Edward Jones
  • Rochester, MN
  • Would you call yourself a relationship builder, a problem solver or a critical thinker? If you answered yes, we need you...
  • 4/4/2024 12:00:00 AM

Rochester is a city founded in 1854 in the U.S. State of Minnesota and is the county seat of Olmsted County located on the Zumbro River's south fork in Southeast Minnesota. It is Minnesota's third-largest city and the largest city located outside the Minneapolis-St. Paul Metropolitan Statistical Area. As of 2015, the Rochester metropolitan area has a population of 215,884. According to the 2010 United States Census the city has a population of 106,769. The U.S. Census Bureau estimated that the 2017 population was 115,733. It is the home of the Mayo Clinic and an IBM facility, formerly one of t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$143,066 to $184,860
Rochester, Minnesota area prices
were up 1.3% from a year ago

Managed Care Finance Director in Portsmouth, NH
Providence is calling a Project Manager (Managed Care Finance) to our Facey Jade Admin Building location in Mission Hills, CA.
December 13, 2019
Managed Care Finance Director in Casper, WY
Twelve medical clinics, including two urgent care centers and dedicated women's centers, are located across the San Fernando, Santa Clarita and Simi Valleys.
December 05, 2019
Managed Care Finance Director in Danbury, CT
Managed Care Companies File Protests Over Lost Ohio Medicaid Contracts.
February 14, 2020