Managed Care Finance Director jobs in York, PA

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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Director of Finance (full-time)
  • The Children's Home of York
  • York, PA FULL_TIME
  • LOCATION: 77 Shoe House Road York, PA 17406 - Building A

    REPORTS TO: Chief Administrative Officer

    RESPONSIBILITIES:

    • General
      • Complies with all Organization and department policies, procedures, and protocols in a professional and ethical manner.
        • Includes the entire policies and procedures manual.
        • Adheres to the Confidentiality Policy.
        • Follows the Code of Ethics and Professional Practices Policy.
        • Meets specific training requirements as outlined by MCO’s, DHS, and COA.
        • Includes all policies in the Team Member Handbook
      • Provides oversight and implementation of the Organization’s administrative processes.
      • Manage day to day fiscal operations by supervising Finance team members and work closely with the Leadership team and the Finance committee.
      • Participate in Leadership planning, discussion, and analysis. Bring to the discussion a thorough understanding of the current fiscal status of the organization as well as being able to prepare forecasts and run “what if scenarios.”
      • Applies principles of accounting and statistical analysis to install and maintain a general accounting system and prepare financial and operating reports from operational data.
      • Oversee the smooth and efficient running of the Finance Department.
      • Ensure compliance with federal and state funding authority and audit requirements.
      • Maintain integrity of the accounting system (Quick books), ensuring it always remains effective and operational.
      • Prepare financial information for budget negotiations and rate setting for referring counties, medical assistance, and the Department of Human Services. Ensure compliance with all Department of Human Service finance requirements.
      • On a monthly basis, report balance sheet and financial summary for review by Finance Committee.
      • Monitor and report all investment and trust accounts.
      • Update “Financial reports” as needed to reflect organization activities.
      • Ensure that the organization has sufficient risk management by working with the Finance Committee and the insurance broker.
      • Provide assistance and direction to the Human Resources department regarding financial matters.
      • Participate as a member of the Leadership Team and contribute to the overall development and coordination of Organization business.
    • Finance Administration:
      • Leads the planning, budgeting, supervision, and management of Finance.
        • Work with the supervisory staff to help them understand the fiscal impact of maintaining budgeted populations and not exceeding budgeted expenses.
      • Develops, Communicates, and executes the strategic plan for the Finance Department aligned with the Organization’s strategic plan.
      • Oversees the monthly reconciliation ledgers and sub-ledgers including general, accounts payable and accounts receivable.
      • Analyze business performance/results, providing feedback to senior management and program supervisors.
      • Track and monitor revenue for accuracy, verifying it against the sub-ledger report monthly.
      • Ensure that expenses are allocated correctly, taking corrective action where inconsistencies arise.
      • Ensure that monthly accruals are adjusted to meet the demands of the business.
      • In conjunction with the President, negotiate competitive rates with State, County, and Insurers.
      • Monitor and manage property and liability insurance claims.
      • Monitor and track loan covenants.
      • Management of cash balances and lines of credit.
      • Ensure that accounts receivable is monitored, and collections are consistent with the set Organization time frames.
      • Oversee the medical billing process to ensure that all requirements are met, including insurance contracting, agency and doctor credentialing, monitoring of managed care and commercial insurance authorizations.
      • Prepare Annual Title IV-E reports.
      • Prepare Annual Medicare/Medicaid cost reports.
    • Budgeting / Forecasting & Reporting:
      • Coordinate and prepare annual budgets, including operating and capital expenditure budgets for approval by President and Finance Committee.
      • Ensure the accurate preparation/reporting of monthly financial results in strict accordance with Organization deadlines.
      • Where required, provide assistance/direction to Directors, Associate Directors, and Supervisors with regards to the preparation of budgets.
      • Ensure that business cash flow adequately supports company work activities and produces optimal results.
      • Ensure approved capital expenditure budgets are always adhered to.
      • Ensure any variations to budgets and forecasts are explained in management reports, including any future/potential exposures to the Organization.
      • Collate all relevant information to produce end of year accounts for the auditors.
      • Maintains contact with Organization’s external audit firms and ensures that end of year financial accounts report, including all support schedules, is finalized by the specified date and presented to the auditors.
      • On an annual basis prepare “budget reports” for review by Finance Committee.
      • On a monthly basis track and review expenditure against set budgets, providing the Finance Committee with a “budget inconsistencies report.”
    • Asset and Property Management:
      • Ensure all organization assets are monitored and accurately accounted for.
      • Ensure the fixed assets register is managed and maintained with strict adherence to “fixed assets procedure.”
      • On a monthly basis ensure the general ledger is reconciled to the assets register.
    • Regulation & Compliance:
      • As required, complete DHS returns within the specified date for final review by County and forward to the regulatory body.
      • On an annual basis, reconcile gross wages and payroll tax against general ledger for review by auditors.
      • On an ongoing basis, review company expenditure to ensure compliance with Federal, State and County regulations.
      • Ensure that the annual audit is completed for approval by the Board of Directors.
      • Ensure that the organization is compliant with COA financial standards.
      • Collect and collate all necessary documentation in readiness and preparation of organization’s 990 tax return.
    • Information Technology:
      • Manages the Information Systems which includes platform services, database management, support, and other services.
      • Oversees the operation of the helpdesk including vendor management and the work activity of the technical support team to ensure efficiency, effectiveness, and productivity of assigned work.
      • Facilitate site additions, moves and changes from an IT perspective.
      • Serve as an escalation and communication point for IT issues.
      • Liaison with third party IT contractor.
    • Facilities and Fleet:
      • Development and management of the capital budget.
      • Provides oversight for routine and preventative and emergency maintenance of all Agency facilities and vehicles including development of preventative maintenance.
      • Manages the development and performance of the Facilities team.
      • Supports appropriate communication between the Facilities team, Agency, team members, administration, board members and outside vendors.
      • Ensures that quarterly inspections of all properties are occurring as scheduled.
      • Serves as the team member liaison to the Building and Grounds Committee.
    • Leadership and People Management:
      • Make self-available as coach/mentor in assisting direct reports to develop in their positions.
      • Ensure that relevant information is communicated to direct reports enabling them to effectively conduct their functions.
      • Delegate tasks to direct reports in line with skill, knowledge, and ability, and where necessary identify skill gaps and training requirements.
      • As a member of the leadership team, become involved in strategic matters including analysis of new programs.
      • Complete and implement the annual operating plan for Finance department within company specified time frame.

    ESSENTIAL FUNCTIONS OF THE JOB:

    • Strong people skills and effective verbal and written communication skills are critical.
    • The ability to lead a small team to achieve administrative and business finance and understanding protocol when interacting with management and Board members, together with maintaining a high degree of sensitivity and confidentiality.
    • The ability to plan and prioritize workloads to meet deadlines and use effective time management of workflow to meet accounting deadlines.
    • The ability to work without management direction, use initiative and possess a positive attitude towards teamwork is critical.
    • The capacity to train and coach other members of the department is an expected element of this position, so too is the capacity to develop and format procedures and workflow systems which accurately reflect the department’s operations.
    • Ability to intermittently stand and sit.
    • Pushing, pulling, lifting, and carrying as required.
    • Must be able to describe and articulate events in both written and spoken English.
    • Must be able to read and comprehend reports written in English.
    • Must have and be able to maintain a valid Pennsylvania Driver’s License.
    • Ability to use appropriate technology to communicate and complete duties.

    REQUIREMENTS:

    • Minimum of a Bachelor of Science degree in Accounting, Master’s degree preferred.
    • At least 5 years of senior accounting experience incorporating analysis and problem-solving principals within a small to medium organization. Non-Profit experience would be an advantage, as is previous experience working in a behavioral health environment.
    • Working knowledge of accounting disciplines such as financial accounting, compliance reporting, forecasting and budget preparation required.
    • Computer literacy with reference to Microsoft Office – Excel & Word with a working knowledge of technology systems.
    • All required clearances
    • Be sensitive to and comfortable with working in an agency that provides psychiatric residential treatment services to a culturally diverse population.
  • 4 Days Ago

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Assistant Daycare Director
  • Weigelstown Child Care, LLC
  • Dover, PA FULL_TIME
  • General Duties:-Planning long and short-range activities in accordance with curriculum objectives, developmentally appropriate practices, and program philosophy. Special activities, like parties for h...
  • 8 Days Ago

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Memory Care Director
  • Senior Commons at Powder Mill
  • York, PA FULL_TIME
  • SAME DAY PAY available! If you would like to work in a positive environment and use your talents and experience to make a difference in the lives of seniors, we'd like to hear from you! At our communi...
  • Just Posted

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Child Care Center Director
  • Luthercare
  • Marietta, PA FULL_TIME
  • Luthercare for Kids is looking for a full-time Center Director with a passion for caring for children and who enjoy helping children learn and grow. Luthercare for Kids operates Child Care and Early L...
  • 1 Day Ago

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Child Care Center Director
  • The LEAD School
  • York, PA FULL_TIME
  • Job Summary:We are seeking a highly qualified and experienced Child Care Director to oversee the operations of our child care facility. The Child Care Director will be responsible for managing the dai...
  • 3 Days Ago

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Program Director of Foster Care
  • The Bair Foundation
  • Dallastown, PA FULL_TIME
  • The Bair Foundation is looking for a PROGRAM DIRECTOR in YORK, PENNSYLVANIA! The Bair Foundation is a non-profit, social service ministry looking to recruit candidates who have a passion for serving f...
  • 3 Days Ago

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Plant Controller -(77)
  • Latitude, Inc.
  • Red Lion, PA
  • Summary: Responsible for costing, inventory reporting, variance reporting, production recording and reporting, fixed ass...
  • 3/28/2024 12:00:00 AM

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Plant Controller (MAC)
  • The Judge Group
  • Lancaster, PA
  • Resulting from aggressive business aggressive business growth and expansion, my client has a Plant Controller search opp...
  • 3/28/2024 12:00:00 AM

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Chief Financial Officer
  • InFlux Technologies Limited
  • Hanover, PA
  • Job Description Job Description Job Title: Chief Financial Officer (CFO) Company: InFlux Technologies Limited Location: ...
  • 3/26/2024 12:00:00 AM

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Director, International Risk Management
  • Capital One
  • York, PA
  • West Creek 4 (12074), United States of America, Richmond, Virginia Director, International Risk Management Capital One i...
  • 3/26/2024 12:00:00 AM

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Senior Director of Human Resources
  • StoneRidge Retirement Living Communities
  • Myerstown, PA
  • About StoneRidge Retirement Living StoneRidge Retirement Living Communities is a faith-based, not-for-profit organizatio...
  • 3/25/2024 12:00:00 AM

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Fractional Chief Financial Officer
  • FocusCFO®
  • York, PA
  • FocusCFO® is the largest fractional CFO services company in the Midwest and Southeast US and we are looking for experien...
  • 3/24/2024 12:00:00 AM

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Senior Manager FP&A
  • Abel Personnel
  • Manheim, PA
  • Job Description Job Description Senior Manager - Hoist and Crane FP&A Regular Full-TimeSalaried Manheim, PA, US Summary ...
  • 3/24/2024 12:00:00 AM

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Branch Office Administrator
  • Edward Jones
  • Mountville, PA
  • Would you call yourself a relationship builder, a problem solver or a critical thinker? If you answered yes, we need you...
  • 3/4/2024 12:00:00 AM

York (Pennsylvania German: Yarrick), known as the White Rose City (after the symbol of the House of York), is the county seat of York County, Pennsylvania, United States, located in the south-central region of the state. The population within York's city limits was 43,718 at the 2010 census, a 7.0% increase from the 2000 count of 40,862. When combined with the adjacent boroughs of West York and North York and surrounding Spring Garden, West Manchester, and Springettsbury townships, the population of Greater York was 108,386. York is the 11th largest city in Pennsylvania....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$139,442 to $180,188
York, Pennsylvania area prices
were up 1.5% from a year ago

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