Managed Care Finance Director jobs in San Jose, CA

Or follow us on:
 Instagram  Instagram.com/SCCExecRecruitment
 Facebook  facebook.com/SCCExecRecruit
 

• Provides leadership and directs the design and development and implementation of the managed care program;
• Directs activity of consultants, attorneys, and internal management information systems and managed care administrative and analyst staff;
• Develops and maintains cooperative relationships with internal administrative and medical staff members;
• Recommends to administration which services to provide or buy from external providers;
• Develops networks and maintains cooperative relations with potential providers and customer departments, businesses and agencies;
• Represents the Health and Hospital System's interests before Federal, State, and local government agencies and community interest groups;
• Works with the management of public and mental health and alcohol program departments and hospital and clinics to develop and modify roles and missions so that they are congruent with managed care programs;
• Performs other related duties as required.

• Laws and regulations governing the development and operation of managed care programs;
• Business practices and operating customs peculiar to health care providers and networks;
• The nature and extent of political interests and considerations surrounding health care delivery;
• The potential affects of federal, state and local budgetary actions on managed care programs.
  
  

• Apply creativity, imagination and leadership to the development of programs;
• Assume a leadership role in gaining the cooperation of internal staff and external providers, customers, and community interests;
• Recognize and respond effectively to the political realities of the health care delivery environment;
• Recognize and meet customer needs and market considerations;
• Work cooperatively and effectively with all elements of the health care delivery system;
• Work effectively and react intelligently in a high charged, dynamic environment;
• Maintain focus on customer service, market share, and financial factors affecting programs.