Managed Care Supervisor jobs in Providence, RI

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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Senior Contract Manager, Managed Care
  • CharterCARE Health Partners
  • Providence, RI FULL_TIME
  • Summary:The Senior Contract Manager, Contract Manager is responsible for the implementation and facilitation of managed care contracts, contract compliance, and related activities for CharterCARE Health Partner System under the direction of the Senior Director, Managed Care Operations and Payer Relation.

    Education:   Bachelor’s degree in health care administration or related field; Master’s Degree preferred.

    Experience: A minimum of 7 years’ of managed care contracting for multi-hospital system and or health plan(s) and reimbursement analysis in either a provider or payer setting required. Experience with risk and value-based arrangements.

    Skills and Abilities:

    • Extensive knowledge, experience and expertise in managed care contracting, negotiations, language, modeling analytics, reimbursement methodologies on behalf of hospitals, physicians, and ancillary providers.
    • Experience with risk based and quality / shared savings program contracting, negotiations, metrics, and methodologies.
    • Excellent quantitative, financial, and analytical skills.
    • Excellent understanding of the Revenue Cycle preferred.
    • Strong Leadership, self-motivated, and highly organized.
    • Ability to handle multiple projects and perform independently under tight deadlines with a focus of effective implementation, clear and consistent communication, and follow-up.
    • Excellent skills in Microsoft Excel, Word, and PowerPoint. 
  • 5 Days Ago

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Material Handler
  • Managed Staffing
  • Warwick, RI CONTRACTOR
  • Duties in this position are usually repetitive, requiring limited analysis and use of individual judgment. Specific duties for this position include scanning trays to prepare invoices, matching invoic...
  • 5 Days Ago

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Nurse Supervisor
  • Aperion Care
  • Providence, RI FULL_TIME
  • ***New Rates!*** Come join the talented staff at AdviniaCare! We’re seeking a compassionate and skilled Nurse Supervisor. Great work life balance, comprehensive benefits and competitive salary offered...
  • 1 Day Ago

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Clinical Supervisor-Family Care Community Partnership FCCP
  • Community Care Alliance
  • Woonsocket, RI FULL_TIME
  • $750 sign-on bonus!!!The purpose of the position is to assist the Family Care Community Partnership (FCCP) Clinical Supervisor / Wraparound Coach is to oversee day-to-day operations regarding the serv...
  • 22 Days Ago

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Admin Patient Care Supervisor $10k Sign On Bonus
  • Care New England
  • Providence, RI FULL_TIME
  • This position is eligible for $10,000 sign on bonus Job Summary: The Admin. Patient Care Supervisor has authority, responsibility and accountability for the administration of the entire hospital durin...
  • Just Posted

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Structured Cabling Technician - Providence, RI
  • Velocity A Managed Services Company
  • Providence, RI FULL_TIME
  • Velocity is a fast-paced company with an open-door environment looking to add Field Technicians to join our team. We offer unique solutions to our clients addressing their specific needs today, while ...
  • 19 Days Ago

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0 Managed Care Supervisor jobs found in Providence, RI area

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Assistant Head of School for Teaching & Learning, PVD Prep
  • Charter Oak Recruitment
  • Providence, RI
  • About PVD Prep PVD Prep is a 5th through 8th grade college preparatory, tuition-free public charter school for Providenc...
  • 3/29/2024 12:00:00 AM

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Customer Service Representative- Smithfield, RI
  • Fidelity Investments
  • Providence, RI
  • Job Description: Customer Relationship Advocate Career Development Experience Join our team of Customer Relationship Adv...
  • 3/29/2024 12:00:00 AM

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Case Manager
  • Complete Staffing Solutions, Inc.
  • Providence, RI
  • Job Description Job Description $50-$60K Responsible for a case load of clients referred by the Department of Children, ...
  • 3/29/2024 12:00:00 AM

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Registered Nurse RN
  • Holiday Retirement Home
  • Providence, RI
  • Job Description Job Description Job Description: We are seeking a dedicated and compassionate Registered Nurse to join o...
  • 3/28/2024 12:00:00 AM

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Licensed Practical Nurse LPN
  • Holiday Retirement Home
  • Providence, RI
  • Job Description Job Description Job Description: We are seeking a dedicated and compassionate LPN to join our team. The ...
  • 3/28/2024 12:00:00 AM

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Phlebotomist PD
  • Lifespan
  • Providence, RI
  • Summary: Under supervision of the Manager Laboratory Outreach Services or guidance of the Lead Phlebotomist performs res...
  • 3/27/2024 12:00:00 AM

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Principal Associate, Ontologist and Data Modeling
  • Capital One
  • Providence, RI
  • 11 West 19th Street (22008), United States of America, New York, New York Principal Associate, Ontologist and Data Model...
  • 3/25/2024 12:00:00 AM

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Cardiovascular Intensive Care Unit - Registered Nurse
  • Trusted Health
  • Providence, RI
  • Trusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel ...
  • 3/21/2024 12:00:00 AM

The Providence city limits enclose a small geographical region with a total area of 20.5 square miles (53 km2); 18.5 square miles (48 km2) of it is land and the remaining 2.1 square miles (5.4 km2) is water (roughly 10%). Providence is located at the head of Narragansett Bay, with the Providence River running into the bay through the center of the city, formed by the confluence of the Moshassuck and Woonasquatucket Rivers. The Waterplace Park amphitheater and riverwalks line the river's banks through downtown. Providence is one of many cities claimed to be founded on seven hills like Rome. The...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$80,568 to $111,197
Providence, Rhode Island area prices
were up 1.6% 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