Managed Care Supervisor jobs in Gastonia, NC

Managed Care Supervisor supervises and coordinates activities of personnel in the managed care operations department of a healthcare facility. Oversees staff that process referrals, authorizations, billing, utilization review, and capitation for hospital services. Being a Managed Care Supervisor experienced in utilization review techniques and protocols. Requires a bachelor's degree. Additionally, Managed Care Supervisor typically reports to a manager or head of a unit/department. May require Registered Nurse (RN). Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. The Managed Care Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. To be a Managed Care Supervisor typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. (Copyright 2024 Salary.com)

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Managed Care Analyst / Managed Care / Full-Time
  • Catawba
  • Claremont, NC FULL_TIME
  • Summary: 


     
    Position is responsible for working with various internal and external customers regarding contract payor terms, policy/procedure updates, payor administration, variances/contract modifications, pricing updates, as well as anything that has an operational impact on the organization.  Strong analytical skills needed to compile and analyze data including: managed care denials/underpayment/ overpayment identification and resolution, contract modeling and evaluation, filing appeals as well as aiding in decision support reporting.  This position is responsible for day-to-day oversight of the contract compliance, payor relationships, co-ordination of payer onsite meetings and cross training with Provider Enrollment Specialist for credentialing and re-credentialing duties. Must work within contract language and have an understanding of healthcare reimbursement methodologies and language.  Majority of time will be spent working within Microsoft Excel, performing data analysis, tracking, trending and research.  Will also work with Contract Modeling software. 

     
    Required Education: 

     
    Associate’s degree from an accredited college or a minimum of four years’ experience with managed care contracting or payor relations. 

     
    Required Work Experience: 

     
    One year of applicable experience, if candidate has no experience they must have completed a successful healthcare or finance oriented internship with good references or an extensive managed care or an analytical background.  
  • 1 Month Ago

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IT Account Executive
  • ICS Managed IT Services
  • Gastonia, NC FULL_TIME
  • We are seeking an IT Account Executive to join our team! You will resolve customer questions and offer solutions to drive company revenue. Responsibilities: Present and sell company products and servi...
  • 1 Month Ago

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IT Help Desk Technician
  • ICS Managed IT Services
  • Gastonia, NC FULL_TIME
  • We are seeking an IT Help Desk Technician to join our team! This position is an in-office help desk technician that assists clients with technical needs as well as serve on a team for on-boarding new ...
  • 1 Month Ago

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Housekeeping/ Laundry Supervisor
  • Autumn Care of Drexel
  • Morganton, NC FULL_TIME
  • We are a leader in the long-term care industry operating in 7 different states. It is our commitment to the care of our residents and our staff that sets us apart from the rest. From the development o...
  • 9 Days Ago

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Weekend Supervisor 7a-7p
  • Carolina Care Health & Rehabilitation
  • Cherryville, NC FULL_TIME
  • Supervise the care/services provided by CNAs and other staff. Coordinate the nursing care of residents on the unit, assuring all assigned staff are capable of providing appropriate care to them. Provi...
  • 15 Days Ago

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Housekeeping and Laundry Supervisor
  • Autumn Care of Drexel
  • Morganton, NC FULL_TIME
  • Looking for an opportunity to join a company where you can make an IMPACT? A team that values their members with compassion, warmth and detail? An organization that puts YOU at the heart of all we do!...
  • 1 Month Ago

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0 Managed Care Supervisor jobs found in Gastonia, NC area

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Counselors - Crisis Service Worker
  • Phoenix Counseling & Crisis Centers
  • Gastonia, NC
  • Job Description Job Description We are seeking Counselors - Crisis Service Workers to join our team! You will provide re...
  • 4/26/2024 12:00:00 AM

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Licensed Practical Nurse Home Health Full Time
  • Kindred At Home
  • Gastonia, NC
  • As a Home Health LPN, you will: Provide professional nursing services under the direction of a RN in compliance with the...
  • 4/26/2024 12:00:00 AM

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Clinical Counselors Mobile
  • Phoenix Counseling & Crisis Centers
  • Gastonia, NC
  • Job Description Job Description We are seeking a Mobile Clinical Counselor to join our team! You will provide recovery-o...
  • 4/26/2024 12:00:00 AM

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Guardianship Representative Specialist
  • Phoenix Counseling & Crisis Centers
  • Gastonia, NC
  • Job Description Job Description Performance Expectations (Quality and Quantity): Provide the overall implementation, man...
  • 4/26/2024 12:00:00 AM

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Warlick ASC Bus Driver - CDL
  • GASTON COUNTY FAMILY YMCA
  • Gastonia, NC
  • Job Details Job Location Warlick Family YMCA - Gastonia, NC Position Type Part Time Salary Range $20.00 Job Category Tra...
  • 4/25/2024 12:00:00 AM

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Full-time Optometric Clinical Supervisor with experience
  • Gaston Eye Associates
  • Gastonia, NC
  • Job Description Job Description Busy Optometry/Ophthalmology practice is seeking a dedicated, full-time Optometric Clini...
  • 4/25/2024 12:00:00 AM

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Companion (Home Care) Southminster - Charlotte, NC, 28210 chevron_right
  • Southminster, Inc.
  • Charlotte, NC
  • Companion (Home Care) Job Details Level Entry Job Location Southminster - Charlotte, NC Description **Paying up to $14/h...
  • 4/24/2024 12:00:00 AM

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Finance Customer Care Rep II
  • BAE Systems
  • Charlotte, NC
  • **Job Description** What's a career like at BAE Systems? Remarkable! BAE Systems seeks a Finance Customer Care Represent...
  • 4/23/2024 12:00:00 AM

Gastonia is the largest city in and county seat of Gaston County, North Carolina, United States. It is also the second largest satellite city of the Charlotte area, behind Concord. The population was 71,741 at the 2010 Census. In 2016, the population had increased to 75,536. Gastonia is the 13th largest city in North Carolina. It is part of the Charlotte metropolitan area, officially designated the Charlotte Metropolitan Statistical Area (MSA). Gastonia has experienced steady growth, with a population increase between 2000 and 2010 of nearly 8.2%, according to the U.S. Census Bureau. According...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$73,786 to $101,833
Gastonia, North Carolina area prices
were up 1.5% from a year ago

Managed Care Supervisor in Austin, TX
The F/MCC Supervisor will ensure adequate team staffing, team training, participates in staff hiring and performance reviews.
December 07, 2019
Managed Care Supervisor in Lowell, MA
The individual will have a focus on assessing, interpreting, and analyzing the impact of utilization of services within the Winchester PHO to maximize performance in the managed care contracts that support the BILH Network.
February 18, 2020
Managed Care Supervisor in Montgomery, AL
The hospital offers a full range of medical services including maternity care and a Level IIB Special Care Nursery.
January 15, 2020