Managed Care Finance Director jobs in Rhode Island

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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Medicaid Proposal Director\/Lead Director Project Program Manager
  • Managed Staffing, Inc.
  • Woonsocket, RI FULL_TIME
  • The Job Description Is Detailed Below

    Position: Medicaid Proposal Director/Lead Director Project Program Manager

    Duration: 9 months with possibility of extension

    Location: Remote

    Description

    This role will create and implement a proposal-wide strategy and partner with leaders to achieve industry-leading onboarding and training that improves retention. This individual will lead a team responsible for training production team members focusing on continuous development..

    Position Summary

    You'll be able to work remotely from anywhere in the continental United States* in this role.

    Aetna's Medicaid Proposal Director/Lead Director Project Program Manager leads end-to-end proposal activities for large, complex Medicaid proposals.

    The Proposal Director ensures high engagement and collaboration across the enterprise and among internal and external teams, ensuring a fully compliant and responsive submission. They work with senior leaders and key contributors to establish and fully understand the vision for the proposal and coordinate among team members to ensure highly effective execution that leads to winning bids for new and existing markets. The Proposal Director is responsible for adhering to and promoting the established processes, using our tools, influencing the proposal-specific strategy and ensuring a high-quality product. They thoroughly review, assess and action as appropriate all proposal material.

    Required Qualifications

    • 7 years of experience with Medicaid managed care proposals.
    • Strong written and verbal communication skills
    • Ability to work independently to produce high quality results that meet needs of internal and external customer expectations under tight timeframes
    • Strong team collaboration skills
    • Ability to adapt to rapidly changing priorities through the identification and execution on creative solutions
    • Able to work evenings and weekends as proposal schedule requires
    • Ability to travel 25%

    Preferred Qualifications

    7-10 years' experience in government (state-level) proposals strongly preferred

    Medicaid And/or Healthcare Experience Strongly Preferred

    Eastern or Central Time Zone preferred, but not required

    Association of Proposal Management Professionals (APMP) certification(s)

    Experience developing competitive analyses and analyzing/applying findings

    Experience creating executive presentations

    Education

    Bachelor's degree or equivalent experience

    What does the interview process look like? One. Interview will be with me and another colleague.

    What is the typical shift hours candidate will work each day? Preference is to work general business hours in ET or CT zones.

    Will candidate work onsite or work from home? WFH however, with assigned projects there is some travel related, which equates to about 15%. Travel is discussed in advance.
  • 1 Day Ago

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Outpatient Managed Care Coordinator Per Diem
  • Care New England
  • Providence, RI PER_DIEM
  • Responsibilities: Patient Benefit Verification Information: Ensures accurate completion of benefit verification of all new patient insurance information and authorization in accordance with State and ...
  • 16 Days Ago

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Director, Finance
  • Inclusively
  • Smithfield, RI FULL_TIME
  • Inclusively is partnering with a Multinational Financial Services Company to hire a Director, Finance.ABOUT INCLUSIVELY:Inclusively is a digital tech platform that connects candidates with disabilitie...
  • 25 Days Ago

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Director of Finance
  • The Learning Community
  • Central, RI FULL_TIME
  • The Learning Community, a vibrant public charter school that centers the voices of students, families, and teachers seeks a collaborative, dedicated Director of Finance who is excited to work as part ...
  • 27 Days Ago

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Director of Finance
  • Wayfinder Hotel Newport
  • Newport, RI FULL_TIME
  • About Us: At Pyramid Global Hospitality, people come first. As a company that values its employees, Pyramid Global Hospitality is dedicated to creating a supportive and inclusive work environment that...
  • 3 Days Ago

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Director of Finance
  • James L. Maher Center
  • Middletown, RI FULL_TIME,PART_TIME
  • Job Type Full-Time Director of FinanceDescriptionThe Director of Finance is responsible for leading all aspects of the Center’s financial operation. This includes financial reporting, accounts receiva...
  • 9 Days Ago

Rhode Island (/ˌroʊd -/ (listen)), officially the State of Rhode Island and Providence Plantations, is a state in the New England region of the United States. It is the smallest state in area, the seventh least populous, the second most densely populated, and it has the longest official name of any state. Rhode Island is bordered by Connecticut to the west, Massachusetts to the north and east, and the Atlantic Ocean to the south via Rhode Island Sound and Block Island Sound. It also shares a small maritime border with New York. Providence is the state capital and most populous city in Rhode Is...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$149,235 to $192,832

Managed Care Finance Director in Waterloo, IA
Today, the Department of Health Care Finance (DHCF) announced that the Office of Contracting and Procurement (OCP) submitted to the Council of the District of Columbia a notice of intent to award three contracts for the District’s Medicaid managed care program.
January 27, 2020
Managed Care Finance Director in Biloxi, MS
Our executives lead the strategies and operations that help us deliver quality care across our network.
January 30, 2020
Managed Care Finance Director in Reno, NV
Facey Medical Group is a multi-specialty medical group with over 160 physicians providing care to the growing population in the North & East regions of Los Angeles & Ventura Counties.
December 30, 2019
Able to travel to all regional sites in a consistent, timely and efficient manner; holds effective meetings and leads workgroups, assigns and takes over deliverables, reports to and coordinates with the regional director and manager on the priorities and workload management; strives to exceed expectations.
January 24, 2020