Top Managed Care Executive jobs in Somerset, 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)
Recently Added Top Managed Care Executive jobs
Managed Care Specialist
- Everest National Insurance Company
-
Warren, NJ
FULL_TIME
- Title: Managed Care Specialist Company: Everest Insurance Company Job Category: Claims Job Description: Everest Group, a NYSE listed S&P 500, is a leading global reinsurance and insurance provider, operating for nearly 50 years, now in over 15 countries. Everest is a growth company offering Property, Casualty and Specialty products. We have extensive product and distribution capabilities backed by a strong balance sheet which is evident in our Financial Agency Ratings of: A A. M. Best, A S&P Global and A1 Moody’s Investor Service. We take pride in being known in the industry as nimble, entrepreneurial and responsive. Our culture is innovative, we empower our employees to make business decisions within our risk framework at a local level. At Everest, we are committed to the development of our people. We offer dynamic training & professional development to our employees. You will benefit from career development and learning opportunities that will let you set career goals and fulfill them, including: • Generous tuition/continuing education reimbursement • Mentoring opportunities • Flexible work arrangements • Talent development initiatives • Networking groups PRIMARY PURPOSE: Analyze complex or technically difficult managed care issues to positively impact overall medical costs for all Everest Insurance workers’ compensation business. Provide analytics, strategy and execution for maximum medical cost savings, ensure ongoing adjudications within company claim best practice standards, industry best practices and specific Everest Insurance service instructions; perform analysis of medical bills and data analytics. ESSENTIAL FUNCTIONS and RESPONSIBILITIES: Analyze workers’ compensation costs for reducing medical exposure Develop and manage cost driver action plans Assist in the expansion of managed care services nationally Provide medical management expertise for complex cases Present at internal training workshops Provide excellent customer service internally and externally Conduct ongoing assessment of managed care vendors for optimum performance and medical cost savings Focus on innovation, creativity, original thinking and resourcefulness to achieve financial results Ability to work independently or as a co-leader of various task teams, thrive on change, and have vision for supporting company growth and profitability EXPERIENCE SKILLS and KNOWLEDGE: Five years plus workers’ compensation managed care experience Experience with multi-state fee schedule, inpatient facility and PPO contracts Computer proficiency in all Microsoft Office products with a strong emphasis on Excel In depth knowledge of state workers’ compensation laws Bill review knowledge preferred Excellent oral & written skills Analytical & interpretive skills; excellent judgment, troubleshooting, problem solving skills Ability to handle multiple tasks and deadlines EDUCATION: Bachelor’s Degree from an accredited college or university For CA only: The base salary range for this position is $100,000 - $115,000 annually. The offered rate of compensation will be based on individual education, experience, qualifications and work location. Our Culture At Everest, our purpose is to provide the world with protection. We help clients and businesses thrive, fuel global economies, and create sustainable value for our colleagues, shareholders and the communities that we serve. We also pride ourselves on having a unique and inclusive culture which is driven by a unified set of values and behaviors. Click here to learn more about our culture. Our Values are the guiding principles that inform our decisions, actions and behaviors. They are an expression of our culture and an integral part of how we work: Talent. Thoughtful assumption of risk. Execution. Efficiency. Humility. Leadership. Collaboration. Diversity, Equity and Inclusion. Our Colleague Behaviors define how we operate and interact with each other no matter our location, level or function: Respect everyone. Pursue better. Lead by example. Own our outcomes. Win together. All colleagues are held accountable to upholding and supporting our values and behaviors across the company. This includes day to day interactions with fellow colleagues, and the global communities we serve. #LI-Hybrid #LI-CK1 Type: Regular Time Type: Full time Primary Location: Warren, NJ Additional Locations: Walnut Creek, CA Everest is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy), sexual orientation, gender identity or expression, national origin or ancestry, citizenship, genetics, physical or mental disability, age, marital status, civil union status, family or parental status, veteran status, or any other characteristic protected by law. As part of this commitment, Everest will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Everest Benefits at everestbenefits@everestglobal.com. Everest U.S. Privacy Notice | Everest (everestglobal.com) EVEREST is a leading international reinsurance and insurance group with an extensive distribution network that spans five continents. With roots dating back to 1973, Everest has developed a global footprint and deep client relationships that are largely unmatched by its peers. The Company’s principal business strategies seek to leverage its strengths to optimize returns over the underwriting cycle, thereby creating value for its shareholders and business partners.
- 1 Month Ago
Direct Support Professional (DSP)
- Top Care Support
-
Newton, NJ
PART_TIME
- Top Care Support is looking for a Direct Support Professional who is Caring, Compassionate, Open Minded and Reliable, to assist a male with Intellectual and Developmental Disabilities living in Newton...
- 20 Days Ago
Direct Support Professional (DSP)
- Top Care Support
-
Manville, NJ
PART_TIME
- Top Care Support is looking for a Direct Support Professional who is Caring, Compassionate, Open Minded and Reliable, to assist an individual with Developmental Disabilities living in Manville, NJ. Jo...
- 29 Days Ago
Caregiver
- Executive Home Care of Freehold/Somerset/Bergen County/Jackson
-
Somerset, 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...
- Just Posted
Production Administrator for a Japanese Food company
- TOP NY
-
Somerset, NJ
FULL_TIME
- Production Administrator for a Japanese food manufacturing company.Work hour will be 8am- 5pm (Including 1 hour unpaid break) Job Description: Production dater input, Monitory the line efficiency, lin...
- 30 Days Ago
Veterinarian $Top
- Nirvana Health & Wellness
-
Martinsville, NJ
FULL_TIME
- Veterinarian $OpenPrivate PracticeFull Time or Part TimeSmall Animals and Large Great Hours and Days - All Shifts, FlexiableAmazing Vet and Wonderful Staff!Prioritize traumatic injuries and serious il...
- 1 Month Ago
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0 Top Managed Care Executive jobs found in Somerset, NJ area
Cell Therapy Account Manager- Phoenix, AZ
- Bristol-Myers Squibb Company
-
New Brunswick, NJ
- Working with Us Challenging. Meaningful. Life-changing. Those aren't words that are usually associated with a job. But w...
- 4/26/2024 12:00:00 AM
Associate Director, Real World Data Analytics
- Bristol-Myers Squibb Company
-
New Brunswick, NJ
- Working with Us Challenging. Meaningful. Life-changing. Those aren't words that are usually associated with a job. But w...
- 4/26/2024 12:00:00 AM
Lab Computing Analyst
- CGI Technologies and Solutions, Inc.
-
New Brunswick, NJ
- **Lab Computing Analyst** **Category:** Service Desk / End User Services **Main location:** United States, New Jersey, N...
- 4/26/2024 12:00:00 AM
Transplant Account Manager - Northeast
- Bristol-Myers Squibb Company
-
New Brunswick, NJ
- Working with Us Challenging. Meaningful. Life-changing. Those aren't words that are usually associated with a job. But w...
- 4/26/2024 12:00:00 AM
Commercial Supply Planning Manager, CSO
- Bristol Myers Squibb
-
New Brunswick, NJ
- **Working with Us** Challenging. Meaningful. Life-changing. Those aren't words that are usually associated with a job. B...
- 4/26/2024 12:00:00 AM
Scientist, Clinical Supply Operations
- Bristol Myers Squibb
-
New Brunswick, NJ
- **Working with Us** Challenging. Meaningful. Life-changing. Those arent words that are usually associated with a job. Bu...
- 4/26/2024 12:00:00 AM
Clinical Trial Associate
- Allen Spolden
-
New Brunswick, NJ
- Job Description The remote-based Clinical Trial Associate (CTA) will perform tasks related to supporting operational str...
- 4/23/2024 12:00:00 AM
Sr. Clinical Trial Associate
- Allen Spolden
-
New Brunswick, NJ
- Job Description The remote-based Clinical Trial Associate (CTA) will perform tasks related to supporting operational str...
- 4/23/2024 12:00:00 AM
About Somerset, New Jersey
Somerset is an unincorporated community and census-designated place (CDP) located within Franklin Township, in Somerset County, New Jersey, United States. As of the 2010 United States Census, the CDP's population was 22,083.
Somerset housed one of the first Marconi Wireless Stations in the United States.
According to the United States Census Bureau, the CDP had a total area of 6.444 square miles (16.692 km2), including 6.327 square miles (16.388 km2) of land and 0.117 square miles (0.304 km2) of water (1.82%)....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Top Managed Care Executive jobs
$237,246 to $420,908
Somerset, New Jersey area prices
were up 1.5% from a year ago
were up 1.5% from a year ago
What does a Top Managed Care Executive do?
Top Managed Care Executive in Danbury, CT
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Top Managed Care Executive in Youngstown, OH
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Top Managed Care Executive in Colorado Springs, CO
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