Director of Managed Care

3 weeks ago


Englewood Cliffs, United States Tandym Group Full time

A New Jersey Hospital is seeking a Director of Managed Care to join their team.

Responsibilities:

The Director of Managed Care will:

  • 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.
Qualifications:
  • 3 to 5 years of experience in healthcare, knowledge of payer/insurance Company practices, as well as knowledge of the hospital environment.
  • Bachelor's Degree required.
  • 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.
Desired Skills:
  • 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.


  • Englewood Cliffs, United States Tandym Group Full time

    A healthcare services organization in New York City is looking to add an experienced professional to their team as their new Director of Managed Care.Responsibilities:The Director of Managed Care will:Plan, organize and direct the operational functions of the facility as they relate to managed care.Develop, interpret and implement policies and procedures to...


  • Englewood Cliffs, United States Unilever, plc Full time

    The role, Associate Brand Manager is reporting to the Associate Brand Director/ Senior Brand Manager in the U.S. This is a strategically important role for Personal Care and offers plenty of scope for independent thinking and ownership. You will be s Brand Manager, Associate, Manager, Personal, Benefits, Brand Director, Manufacturing, Business Services


  • Englewood Cliffs, United States Englewood Cliffs Surgery Center Full time

    Job Description Job Description The Director of Nursing is responsible for all aspects of nursing care delivery in the ambulatory surgery center. They will assume responsibility as a department lead of the OR, Preop, and PACU areas. The Director of Nursing is also responsible for overseeing the center's quality improvement, risk management and infection...


  • Englewood Cliffs, United States Englewood Cliffs Surgery Center Full time

    Job DescriptionJob DescriptionThe Director of Nursing is responsible for all aspects of nursing care delivery in the ambulatory surgery center. They will assume responsibility as a department lead of the OR, Preop, and PACU areas. The Director of Nursing is also responsible for overseeing the center's quality improvement, risk management and infection...

  • Design Director

    3 weeks ago


    Englewood Cliffs, United States Intelliswift Software Inc Full time

    Design Director Looking for an experienced Design Director to manage a team of high-performing designers working in Agile/Scrum teams. Will lead, coach and mentor data-driven, customer centered product design team in a globally recognized media organization. Skillset: 7+ years of experience as a hiring, managing, and mentoring successful multiple...

  • Design Director

    1 month ago


    Englewood Cliffs, United States Intelliswift Software Full time

    Design Director Looking for an experienced Design Director to manage a team of high-performing designers working in Agile/Scrum teams. Will lead, coach and mentor data-driven, customer centered product design team in a globally recognized media organization. Skillset: 7+ years of experience as a hiring, managing, and mentoring successful multiple...

  • Design Director

    4 weeks ago


    Englewood Cliffs, United States Intelliswift Software Full time

    Design Director Looking for an experienced Design Director to manage a team of high-performing designers working in Agile/Scrum teams. Will lead, coach and mentor data-driven, customer centered product design team in a globally recognized media organization. Skillset: 7+ years of experience as a hiring, managing, and mentoring successful multiple...

  • Design Director

    3 days ago


    Englewood Cliffs, United States Intelliswift Software Inc Full time

    Design Director Check below to see if you have what is needed for this opportunity, and if so, make an application asap. Looking for an experienced Design Director to manage a team of high-performing designers working in Agile/Scrum teams. Will lead, coach and mentor data-driven, customer centered product design team in a globally recognized media...

  • Office Manager

    4 days ago


    Englewood Cliffs, United States Progressive Care Medical Group Full time

    **_**Essential Functions & Requirements**_** - Technologically savvy with ability to learn new software - Proficient in Microsoft Office 365 (Excel, Word, PowerPoint) - Eagerness to learn new things - End to end provider credentialing (Payer/Facility) utilizing established workflows - Assistance with New Provider onboarding including scheduling trainings &...


  • Englewood Cliffs, United States NBC Universal Media, LLC Full time

    Manage and lead a team of Enterprise Architects focused on supporting the End-to-End Content Supply Chain across the 6 strategic platforms (Content, Content Sales, Production, Marketing, Ad Sales, and Distribution). Mentor architecture teams, develop Enterprise, Director, Technical Architect, Architect, Technology, Product Management, Business Services


  • Englewood Cliffs, United States Golden Steps ABA Full time

    We are searching for a dynamic visionary with a hands-on entrepreneurial approach to propel our geographic reach as a state Director of Operations at Golden Steps ABA. This role will be the driving force behind Golden Step’s expanding mission of delivering exceptional Applied Behavior Analysis (ABA) Services to children with Autism Spectrum Disorder (ASD)...


  • Englewood Cliffs, United States Golden Steps ABA Full time

    We are searching for a dynamic visionary with a hands-on entrepreneurial approach to propel our geographic reach as a state Director of Operations at Golden Steps ABA. This role will be the driving force behind Golden Step’s expanding mission of delivering exceptional Applied Behavior Analysis (ABA) Services to children with Autism Spectrum Disorder (ASD)...


  • Englewood Cliffs, United States Search Max, Inc Full time

    Director of Performance Marketing SALARY: $175-210KPMAX/SHOPPING PLA, AFFILIATEDTC EXPERIENCE HIGHLY DESIRED!Director of Performance Marketing - dXp Demand Generation TeamReports to: Senior Director, dXp Demand GenerationWe are seeking an innovative and dynamic Director of Performance Marketing to lead our customer acquisition efforts and drive revenue...


  • Englewood Cliffs, United States LG Electronics U.S. Full time

    LG's Mission is to be #1 by creating a better life for our customers. At LG we make products and services that make lives better, easier and happier through increased functionality and fun. Put simply, we offer the latest innovations to make “Life Good”! As a global leader, we strive for greatness not only in the products we make but in our people. That...


  • Englewood, United States Generis Tek Inc Full time

    Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Nitika Rao at email address can be reached on # . We have Permanent role for Director Case Management f or our client at Englewood, CO. Please let me know if you or any of your friends would be interested in this position. Position Details: ...


  • Englewood, United States Great Bay Staffing Group Full time

    Job description: The Facility Case Management Director has the overall responsibility for managing and coordinating department activities. The Director ensures staff compliance with organizational policies and external regulatory agencies and takes leadership responsibility to coordinate the integration of the department's patient care and discharge planning...


  • Englewood, United States Job Juncture Full time

    Job Description Job description: The Facility Case Management Director has the overall responsibility for managing and coordinating department activities. The Director ensures staff compliance with organizational policies and external regulatory agencies and takes leadership responsibility to coordinate the integration of the department's patient care...


  • Englewood Cliffs, United States Robert Half Full time

    Position Overview:Gain and maintain a working knowledge of the Company's products, customers, and goals.Gain and maintain a working knowledge of existing sales tools (website, app, literature, etc.) and initiatives.Create branded content consistent with overall marketing goals for events, eNewsletters, social media, etc. Lead marketing campaigns from the...


  • Englewood Cliffs, United States Robert Half Full time

    Position Overview:Gain and maintain a working knowledge of the Company's products, customers, and goals.Gain and maintain a working knowledge of existing sales tools (website, app, literature, etc.) and initiatives.Create branded content consistent with overall marketing goals for events, eNewsletters, social media, etc. Lead marketing campaigns from the...


  • Englewood, United States Verovian Full time

    Director of Case Management RN Englewood, Colorado Job Title: Director of Case Management RN Company: Verovian Nursing Agency Location: Englewood, Colorado Job Type: Full-Time (Perm) Apply Job details Director of Case Management RN Location: Englewood, Colorado Salary: Competitve FullTime Are you ready to enhance patient care and nurture a culture...