Top Managed Care Executive jobs in Bergenfield, NJ

Top Managed Care Executive plans and directs all aspects of an organization's managed care function. Responsible for directing and implementing managed care systems for healthcare facilities. Being a Top Managed Care Executive requires a bachelor's degree. Typically reports to a top management. The Top Managed Care Executive manages a departmental function within a broader corporate function. Develops major goals to support broad functional objectives. Approves policies developed within various sub-functions and departments. To be a Top Managed Care Executive typically requires 8+ years of managerial experience. Comprehensive knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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Director of Managed Care
  • Englewood Health
  • Englewood, NJ FULL_TIME
  • Job Summary:
    Under the general direction and leadership of the Vice President for Finance; plans, organizes and directs the operational functions of the Medical Center as they relate to managed care. Develops, interprets and implements policies and procedures to create and maintain an effective managed care program with maximum reimbursement rates. This position carries primary administrative responsibilities for the managed care contracting efforts of the Medical Center as well as other corporate entities as needed. Demonstrates the Standards for Service Excellence, so that these standards represent minimum accepted behavior. Plan, direct and coordinate the operations of the Managed Care. Manage staff for optimum performance.


    Department: Managed Care
    Location: Englewood Cliffs, NJ
    Status: Full-Time
    Shift:Day
    Hours: 9:00am to 5:00pm


    Job Essentials: The ideal candidate will meet the following requirements and competencies.

    • Three (3) to five (5) years’ experience in healthcare, knowledge of payer/insurance Company practices, as well as knowledge of the hospital environment. Experience in the negotiation and management of managed care contracts. Knowledge of state and regulatory HMO guidelines.
    • Demonstrated proficiency in the use of a personal computer (windows environment) including but not limited to Word, Excel, Power Point, and Access.
    • Must have excellent interpersonal skills and be capable of working with all levels of Medical Center and Medical Staff. Must exhibit relationship skills with contracted partners.
    • Must be able to act as a team player, working in concert with other members of administration and the Medical Staff.
    • Must possess excellent written, verbal, analytical and communication skills.
    • Must be highly organized and capable of performing multiple tasks simultaneously.

    Education Requirements:

    • Bachelor's Degree required


    Englewood Health, one of New Jersey’s leading hospitals and healthcare networks, delivers nationally recognized inpatient and outpatient care through its hospital and network of physician practices, urgent care centers, and imaging centers. Englewood Hospital, founded in 1890, consistently earns high marks for clinical excellence and patient safety. It is recognized as a 2022-23 Best Regional Hospital by US News & World Report, holds the Leapfrog Hospital Safety Grade ‘A’ (spring 2023), and was named a Leapfrog Top Teaching Hospital (2022). Englewood Hospital is nationally recognized for nursing excellence, earning a fifth consecutive designation by the Magnet Recognition Program in 2021. The Englewood Health Physician Network—a coordinated network of more than 600 office-based and hospital-based providers—offers primary care, specialty care, and urgent care at more than 140 locations in five counties across northern New Jersey. Areas of clinical excellence offered by the health system include cardiac surgery and cardiac care, cancer care, orthopedic surgery, primary care, spine surgery, vascular surgery, and women’s health, as well as bloodless medicine and surgery and minimally invasive robotic surgery. Englewood Health’s focus on health equity and population health encompasses outreach to underserved communities to enhance individual and public health, prevent disease, support lifelong wellness, reduce the burden of mental health challenges and substance use disorders, and meet the cultural, social, and holistic needs of specific populations. With its high-quality, culturally sensitive inpatient care, outpatient services, and community health and wellness programs, Englewood Health delivers a healthcare experience that puts patients at the center.

  • 1 Month Ago

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Registered Nurse Case Manager-Corporate Managed Care
  • HMH HOSPITALS CORPORATION
  • Hackensack, NJ FULL_TIME
  • Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in c...
  • 1 Month Ago

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Caregiver
  • Executive Home Care of Freehold/Somerset/Bergen...
  • Hackensack, NJ FULL_TIME
  • BENEFITS & PERKS: Competitive Compensation 401K Wellness Care QUALIFICATIONS: High School diploma or equivalent is preferred. Graduated from an accredited Home Health Aide program Active HHA license M...
  • 10 Days Ago

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Caregiver
  • Executive Home Care of Freehold/Somerset/Bergen County/Jackson
  • Hackensack, NJ PART_TIME
  • BENEFITS & PERKS: Competitive Compensation 401K Wellness Care QUALIFICATIONS: High School diploma or equivalent is preferred. Graduated from an accredited Home Health Aide program Active HHA license M...
  • 18 Days Ago

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Personal Injury Trial Attorney (10+ years experience)
  • Top Tier Reps LLC
  • Teaneck, NJ FULL_TIME
  • The Law Firm is a practice of 30 civil trial attorneys seeking to hire several attorneys from experienced to 10 plus years of experience to work with our 12 Certified Civil Trial Attorneys in preparin...
  • 2 Days Ago

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Bankruptcy Attorney
  • Top Tier Reps LLC
  • Hackensack, NJ FULL_TIME
  • Seeking a bankruptcy attorney with 2 years of experience to join our Delaware, New Jersey or New York offices.We seek a motivated individual devoted to meeting the highest standards of excellence and ...
  • 2 Days Ago

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0 Top Managed Care Executive jobs found in Bergenfield, NJ area

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Attorney - Family and Matrimonial Law
  • We Place People Executive Search Firm
  • Hackensack, NJ
  • Job Description Job Description Location: Hackensack, NJ Start 2024 off in a new career! Utilize your attorney skills, k...
  • 3/19/2024 12:00:00 AM

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Head of HR-Director
  • Kornit
  • Englewood, NJ
  • Kornit Digital, a leading-edge global company that develops, manufactures and markets state-of-the-art printing solution...
  • 3/18/2024 12:00:00 AM

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Family Law Paralegal
  • We Place People Executive Search Firm
  • Hackensack, NJ
  • Job Description Job Description Location: Hackensack, NJ Our client is a top-rated prestigious family and matrimonial Ne...
  • 3/18/2024 12:00:00 AM

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HVAC/R Service Technician
  • Service & Maintenance Corp
  • Hackensack, NJ
  • Job Description Job Description Job description Service & Maintenance Corp. 6 WARREN DRIVE, UNIT A. VERNON, NJ 07462 HAV...
  • 3/18/2024 12:00:00 AM

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Resident Services Coordinator RN - Memory Care
  • Promedica
  • Tenafly, NJ
  • Arden Courts of West Orange is seeking a Director of Nursing - Resident Service Coordinator RN to lead our dedicated nur...
  • 3/17/2024 12:00:00 AM

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Quality Improvement Specialist
  • Hackensack Meridian Health
  • Hackensack, NJ
  • Overview: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients liv...
  • 3/17/2024 12:00:00 AM

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Resident Services Coordinator RN - Memory Care
  • Promedica
  • Hackensack, NJ
  • Arden Courts of West Orange is seeking a Director of Nursing - Resident Service Coordinator RN to lead our dedicated nur...
  • 3/17/2024 12:00:00 AM

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Chief Financial Officer
  • Regional Cancer Care Associates
  • Teaneck, NJ
  • Overview: Regional Cancer Care Associates (RCCA) is looking for an exceptional Chief Financial Officer to join the team....
  • 3/16/2024 12:00:00 AM

Bergenfield is a borough in Bergen County, New Jersey, United States. As of the 2010 United States Census, the borough's population was 26,764, reflecting an increase of 517 (+2.0%) from the 26,247 counted in the 2000 Census, which had in turn increased by 1,789 (+7.3%) from the 24,458 counted in the 1990 Census. Bergenfield was formed on the basis of a referendum held on June 25, 1894, from portions of Englewood Township and Palisades Township.[21][22][23] The borough was formed during the "Boroughitis" phenomenon then sweeping through Bergen County, in which 26 boroughs were formed in the co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Top Managed Care Executive jobs
$242,620 to $430,443
Bergenfield, New Jersey area prices
were up 1.5% from a year ago

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