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    Managed Care Revenue Manager - Commerce, United States - AltaMed

    AltaMed
    AltaMed Commerce, United States

    1 week ago

    Default job background
    Full time
    Description
    Job Description

    Work Boldly. Live Brilliantly.

    At AltaMed, we don't just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And, we are determined to provide it no matter the challenges because this is more than a job. It's the calling of our lives and it compels us to keep moving forward.

    Job Overview

    The Manager, Managed Care Revenue position oversees the revenue cycle related to health plan contracts. Ensures maximization of revenue (capitation, P4P, other incentives, etc.). Works with VP FP&A, DSS Director, MSO and Internal Data team to develop reports, KPI's to ensure profitability and adequacy of capitation rates amongst health plans and develops forecast, models to assist operations with contract negotiations. Assists with monitoring performance and quality metrics established by various health plans to maximize incentive revenue. Continuously monitors to ensure financial data is within budget/ expectations or escalate unfavorable trends to the VP FP&A. Timeliness analysis is of essence to ensure solutions are implemented by operations to drive change as needed.

    Minimum Requirements

  • Bachelor's Degree in Accounting or Finance required.
  • Master's Degree in Accounting or Finance, or MBA and/or CPA preferred.
  • Minimum of 5 years of experience participating or leading financial forecasting, budgeting, financial model development processes required.
  • Minimum of 5 years of direct leadership, indirect leadership and/or cross functional team leadership required.
  • Minimum of 3 years of experience healthcare, particularly in a managed care setting required.
  • Experience with Workday ERP or equivalent ERP system preferred
  • Report building experience utilizing reporting and database tools/software (i.e. Tableau, Adaptive, etc.) required
  • Advanced level skill in Microsoft Excel (for example: using AVERAGE function, merging and centering cells, printing centered page and/or creating a pivot table).
  • Intermediate level skill in Microsoft PowerPoint (for example: applying a theme, formatting character spacing, inserting a picture, changing slide layout and theme colors, adding transitions, customizing slide numbers, changing chart style and/or formatting font).
  • Intermediate level skill in Microsoft Word (for example: inserting headers, page breaks, page numbers and tables and/or adjusting table columns).

    • Salary Range

  • $107, $142,916.80 annually

    • Benefits & Career Development

  • Medical, Dental and Vision insurance
  • 403(b) Retirement savings plans with employer matching contributions
  • Flexible Spending Accounts
  • Commuter Flexible Spending
  • Career Advancement & Development opportunities
  • Paid Time Off & Holidays
  • Paid CME Days
  • Malpractice insurance and tail coverage
  • Tuition Reimbursement Program
  • Corporate Employee Discounts
  • Employee Referral Bonus Program
  • Pet Care Insurance
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