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Top Managed Care Executive
Directs organization's activities of... [+] More
Directs organization's activities of strategic planning, evaluation, coordination, and implementation of various managed health care programs (HMO's, PPO's, long-term care). Organizes and develops short- and long-term planning programs to ascertain community and organization's requirements.
Typically reports to Hospital Administrator and directs subordinate staff. Administers fiscal operations such as budget planning and establishing rates for alternative delivery services. Directs activities concerned with contracts for alternate delivery systems. Reviews bids for conformity to contract requirements and determines acceptable bids. Negotiates contract with bidder. Requests or approves amendments to or extensions of contracts. Develops policies and procedures for various activities to assure objectives of hospital, managed care, physicians, care givers and patients are met. Ensures compliance of facilities with all regulations. Ensures that all providers and employees meet and maintain requirements and licenses. Develops and implements methods and procedures for monitoring work activities, such as preparation of records of expenditures, progress reports, etc., in order to inform management of current status of work activities. Recommends measures to improve methods, performance, and quality of service, and suggests changes in working conditions to increase efficiency. May recruit, hire, train staff, evaluate employee performance, and recommend or initiate promotions, transfers, and disciplinary action. Analyzes department budget to identify budget needs and or reductions, and may allocate operating budget's funds. Interprets company policy to employees and enforces safety regulations. [-] Less
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Managed Care Director
Develops and implements strategic, operational, and tactical business plans to meet customer service requirements and optimize financial performance. Maintains and develops relationships with health plans and medical groups. Develops contracting plans and forecasts. Directs and performs the negotiation of contracts with... [+] More
Develops and implements strategic, operational, and tactical business plans to meet customer service requirements and optimize financial performance. Maintains and develops relationships with health plans and medical groups. Develops contracting plans and forecasts. Directs and performs the negotiation of contracts with managed care payers and group purchasing organizations. Monitors existing contract performance. Conducts financial analyses and considers impact of applicable regulatory requirements. Collaborates with senior management and/or multiple decision-makers to conclude sales. Serves as liaison between customer and company personnel on administrative matters. Develops and assists in implementation of referral strategies. Develops and manages the budget. Controls expenses while meeting operational, financial, and service requirements. Recruits, develops, and motivates staff. May lead team of sales/technical/marketing personnel on larger sales efforts. [-] Less
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Managed Care Contracting Manager
Responsible for the coordination, evaluation and... [+] More
Responsible for the coordination, evaluation and negotiation of managed care contracts under consideration. This position typically requires five or more years of experience in the negotiation of contracts in a managed care or hospital environment. Responsible for the coordination, evaluation and negotiation of managed care contracts under consideration. Responsible for the oversight of all contract coordination activities. Represents the organization to the employer community and solicits business. Works with current subscribers to develop additional business opportunities. Coordinates contract negotiation and resolves complex issues. Works closely with physicians in program development and specialist relations. Monitors managed care contract performance and addresses related concerns. Evaluates potential business opportunities and develops innovative approaches that can benefit the organization. Attempts to standardize contracts to ensure effective and efficient implementation. This position typically requires five or more years of experience in the negotiation of contracts in a managed care or hospital environment. [-] Less
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Supervisor Managed Care
Supervises and coordinates the activities of personnel in the managed care department of a healthcare facility to ensure department productivity and quality goals are met. Assists with the analysis of the financial and operational impact of managed care contracts and... [+] More
Supervises and coordinates the activities of personnel in the managed care department of a healthcare facility to ensure department productivity and quality goals are met. Assists with the analysis of the financial and operational impact of managed care contracts and the maintenance of related databases within the overall structure developed by the Director of Managed Care. Participates in and provides oversight of contract compliance activities and maintains relationships with key health plan contacts. Serves as a liaison to Finance Department regarding managed care related issues. Hires, schedules, and monitors staff in the Managed Care Department. Ensures employees receive appropriate orientation and training to perform their jobs, including writing and communicating standard operating procedures. Tracks employee time and attendance. Provides financial data to management as well as other reporting concerning daily operations within the department. Tracks, communicates, and compares key terms and conditions and reviews the language of all managed care contracts to ensure terms and conditions meet the standards established by the Managed Care Department. Manages multiple projects within required timelines. Performs data entry, maintenance, and reporting for database of all active contracts as well as other hospital information systems. Supports negotiations by providing reports or other contract comparison tools. Negotiates with health plans on a case by case basis for services not covered under contract. [-] Less
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Chief Executive Officer
Plans, develops, establishes, and oversees interpretation and implementation of policies and objectives of organization in accordance with board directives and corporation charter. Responsible for the profitability of the entire organization. Holds position of the top executive and principal organization leader... [+] More
Plans, develops, establishes, and oversees interpretation and implementation of policies and objectives of organization in accordance with board directives and corporation charter. Responsible for the profitability of the entire organization. Holds position of the top executive and principal organization leader in the organization. This position is distinguished from others in that it is the top ranking executive and, in most cases, is the highest paid executive in the organization. Confers with organization officials to plan business objectives, to develop organizational policies to coordinate functions and operations between divisions and departments, and to establish responsibilities and procedures for attaining objectives. Reviews activity reports and financial statements to determine progress and status in attaining objectives and revises objectives and plans in accordance with current conditions. Directs and coordinates formulation of financial programs to provide funding for new or continuing operations to maximize returns on investments, and to increase productivity. Plans and develops industrial, labor, and public relations policies designed to improve company's image and relations with customers, employees, stockholders, and public. Evaluates performance of executives for compliance with established policies and objectives of firm and contributions in attaining objectives. May preside over Board of Directors. May serve as chairman of committees, such as management, executive, engineering, and sales. [-] Less
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e-Commerce Top Officer
Directs and oversees all e-commerce functions. Heads the overall organizational effort to develop and manage e-commerce projects. Provides leadership and guidance in the development of concepts, strategies, planning, implementation, and coordination of e-commerce marketing projects. Plans and directs activities resulting in... [+] More
Directs and oversees all e-commerce functions. Heads the overall organizational effort to develop and manage e-commerce projects. Provides leadership and guidance in the development of concepts, strategies, planning, implementation, and coordination of e-commerce marketing projects. Plans and directs activities resulting in a favorable positioning of the company's products and/or services to target audience. Determines and maintains on-line assortment, pricing, promotions, and product presentation. Leads the development of new business opportunities. Develops new, and maintains current, e-commerce partnerships and alliances, including acquisitions and investments. Analyzes web usage trends to improve and/or add functionality. Tracks and reports on effectiveness of projects. Reads trade journals and periodicals to remain up-to-date on current and emerging trends and technologies in the area of e-commerce. [-] Less
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Executive Vice President
Directs, plans, approves, revises, and implements overall corporate growth strategies and personnel activities. Oversees a broad range of activities or... [+] More
Directs, plans, approves, revises, and implements overall corporate growth strategies and personnel activities. Oversees a broad range of activities or functions in the organization. This position is distinguished in that it is responsible for a broad range of activities or functions in the organization. In larger organizations, Vice President level position(s) may report to the Executive Vice President. Develops, recommends, evaluates and obtains approval of all major corporate personnel and operational plans and programs. Selects, develops, and motivates necessary management talent. Guides the development of innovative compensation and benefit programs and provides cost control of this element. Contributes to solutions of major public problems. May direct operations and/or administration functions. May provide staff support services to operating groups in the areas of operations, distribution, personnel, and corporate office administrative services, and participate as a member of the Executive Committee in planning and controlling corporate growth and evaluating performance against objectives. [-] Less
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Top Administrative Officer
Directs, plans, develops, and establishes policies and objectives of functions in accordance with objectives of organization. Heads multifunctional support divisions or departments, such as, but not limited to, administration, data communications, facilities management, human resources services, insurance, office services, purchasing, security, etc. Confers with organization officials to plan business objectives, to develop organizational policies and to coordinate functions. Provides support and assistance to other functions and operating units of the organization. Interprets company policy to employees and enforces company policy and practices. Develops human resource management policy and programs that contribute to the acquisition, retention, motivation, and development of company employees capable of meeting current and future organizational needs and objectives. Provides physical working environment that provides a positive, productive climate for operations through maintenance, planning, and general building services. Ensures efficiency of internal non-electronic data processing (EDP) management systems through improved organizational structure, continued surveillance, work methods programs, and establishing performance standards. Provides non-EDP equipment and supplies that effectively meet operational requirements with a minimum expenditure. Counsels management on strategic planning and organization design processes, combined with recommendations and insights that contribute to overall plan strategic management and corporate direction. May guide the company's formal strategic planning effort. May provide general legal counsel to management, with a minimum use of external counsel. [-] Less
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Top Advertising Officer
Plans, coordinates, and advises all organization divisions as to means of obtaining maximum advertising effectiveness in creating consumer demand. Aids marketing personnel in all divisions in developing marketing plans, and in the creation of advertising themes, development of programs, and selection of media. Directs staff and coordinates packaging and graphics for all products in all divisions. Provides ideas and creative guidance to marketing personnel. Works with personnel on the selection of advertising agencies. Evaluates and analyzes the effectiveness of advertising, and makes recommendations for any improvements indicated. Counsels marketing personnel on questions involving good taste in advertising and acceptable advertising practice. Works with legal department and marketing personnel on interpretation of Governmental rulings affecting advertising. Coordinates division and product advertising budgets. Acts as a liaison and/or coordinator on advertising projects involving two or more divisions. Studies and evaluates advertising strategies and use of media by others in industry. Develops and maintains good relationships in the advertising field. [-] Less
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Top Auditor
Directs, develops, and administers the organization's internal audit program system and procedures to determine the effectiveness of controls, accuracy of records, and efficiency of operations. Reviews company operations and each financial system and evaluates their efficiency, effectiveness, and compliance with... [+] More
Directs, develops, and administers the organization's internal audit program system and procedures to determine the effectiveness of controls, accuracy of records, and efficiency of operations. Reviews company operations and each financial system and evaluates their efficiency, effectiveness, and compliance with internal corporate policies and procedures and external laws and government regulations. Measures and evaluates the effectiveness and efficiency of business practices and operations, the reliability of financial reporting, the process for deterring and investigating fraud, and the safeguarding of company assets. Examines and evaluates the organization's financial and information systems, management procedures, and managerial and internal controls to ensure records and controls are accurate. Analyzes and recommends business improvements and ways to better execute the organization's responsibilities. Recommends controls for organization's computer system to ensure reliability of the system and integrity of the data. Provides counsel and advice to management regarding implications of audit findings, and recommends appropriate corrective measures. [-] Less
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Salary Survey Data for Compensation Professionals
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