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Director of Managed Care

Tandym Group
Englewood, NJ Full Time
POSTED ON 3/2/2025
AVAILABLE BEFORE 5/4/2025

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 create and maintain an effective managed care program with maximum reimbursement rates
  • Manage staff for optimum performance
  • Perform other duties, as needed

Qualifications :

  • 3 years of experience in Healthcare setting
  • Bachelor's Degree
  • Knowledge of Payer / Insurance company practices
  • Experience in the negotiation and management of Managed Care contracts
  • Knowledge of state and regulatory HMO guidelines.
  • Computer savvy
  • Microsoft Office proficient (Word, Excel, Power Point, and Access)
  • Great interpersonal skills
  • Excellent interpersonal skills (written and verbal)
  • Strong attention to detail
  • Highly organized
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