Managed Care Financial Specialist, Sr
WakeMed
Overview Oversees the data gathering, financial modeling and creation of ad hoc financial reports using multiple database systems for the Managed Care department. The financial models and reports are used for contract negotiations, auditing purposes, and validating claim payments to help assist senior level leadership in the decision-making process. The role is also responsible for maintaining and auditing the current financial models in the finance database system for accurate reporting, and investigating over and under payments for claims variances and participating in various department related special projects
Department Description Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit .
EOE
Licensure Not Applicable
Education Bachelor's Degree Accounting Required - And Bachelor's Degree Finance Preferred
Experience 4 Years Accounting/Finance - Accounting and Financial Analysis Or Accounting/Finance - Financial Analysis Or Accounting/Finance - Reimbursement Required
Department Description Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit .
EOE
Licensure Not Applicable
Education Bachelor's Degree Accounting Required - And Bachelor's Degree Finance Preferred
Experience 4 Years Accounting/Finance - Accounting and Financial Analysis Or Accounting/Finance - Financial Analysis Or Accounting/Finance - Reimbursement Required
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Managed Care Financial Specialist, Sr in Raleigh, NC vacancy
- Academy of Managed Care Pharmacy in Raleigh, North Carolina is looking for a finance professional to oversee data gathering and financial modeling for the Managed Care department. The successful candidate must hold a Bachelor's degree in Accounting (Finance preferred)...Senior
- NeighborHealth Center, Inc. is hiring a Care Coordinator to assist in managing patient care plans while advocating for their needs. This full-time role includes engaging with patients, coordinating with healthcare teams, and addressing social determinants affecting health...SuggestedRemote jobFull time
- ...Overview Lead Compassion. Inspire Excellence. Elevate Hospice Care. Remote position with some travel in North Carolina and South Carolina. We are seeking a Patient Care Manager Specialist to join our team, reporting to the Regional Director of Operational Excellence...SuggestedDaily paidFull timePart timeLocal areaRemote work
- ...Sunrise is to be a part of. COMMUNITY NAME Sunrise at North Hills Job ID 2025-234999 JOB OVERVIEW The Lead Care Manager functions as the lead to a group of Care Managers/"Designated Care Managers" during the shift. The Lead Care Manager ensures...SuggestedPart timeWork at officeLocal areaImmediate startShift workNight shiftWeekend workDay shiftAfternoon shift
$106.2k - $167.2k
Merck in Raleigh, NC is seeking a Chronic Care Specialty Sales Representative to drive patient impact and manage relationships with healthcare customers. This field-based role requires travel and collaboration with various health professionals. The candidate will develop...SuggestedRemote job$135k
...Pharmaceuticals Inc. Long-Term Care Sales Position Seeking... ...long-term care (LTC) territory. Manages relationships with prescribers... ...Mentor and train new/junior Sales Specialists; share field insights and... ...on neuroscience preferred. Sr. Sales Specialist : $135,000....Casual workWork at officeLocal areaRemote workNight shift- Accenture is seeking an Epic Certified Hospital Billing (Charge Router) Senior Analyst to manage day-to-day operations and collaborate with client stakeholders and offshore teams. This role demands technical proficiency and excellent communication skills to ensure high...Senior
- Snow Hill Assisted Living is seeking a dedicated Resident Care Coordinator in North Carolina to manage resident care services and compliance with regulations. This role involves developing care plans, supervising staff, engaging with residents and families, and coordinating...
$105.79k - $141.05k
...Evans is being recommended for the role of Sr Lead Finance Analyst 342273. The... ...Finance Analyst will play a critical role in managing and optimizing Operating Expenses (OPEX)... ...enterprise. This position combines strong financial acumen with advanced technical skills, including...SeniorTemporary workRemote work- ...Make an Impact Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina.... ...Trillium Health Resources has a career opening for a Senior Financial Analyst to join our team! The Senior Financial Analyst...SeniorWork at officeImmediate startRemote workWork from homeFlexible hours
- ...Registered Nurse to serve within Gastroenterology at the Garner VA Clinic. The position requires leadership in complex patient care management and accountability for managing patient care and resources. Candidates must be U.S. citizens, graduate from an approved nursing...
$100k - $150k
...advisory firms in the industry You will have the flexibility to manage your days in support of our commitment to work/life balance... ...tomorrow. Our clients are enterprises as diverse as sophisticated financial institutions and start-ups, global public firms, and middle-...SeniorWork at officeLocal area$64.89k - $173.04k
A major health solutions provider is seeking a Sr. Actuarial Analyst in North Carolina to manage and support enhancements for their commercial rating engine. Responsibilities include defining specifications, testing system enhancements, and investigating pricing practices...Senior- ...to support the full order-to-cash process across international operations. This position plays a vital role in managing billing workflows, supporting financial accuracy, and ensuring a smooth customer experience. As part of a distributed global team, this role requires...SeniorContract workFlexible hours
- ...Job Title This position is responsible for managing a team of leaders and professionals to develop and maintain a diverse funding... ...Treasury Balance Sheet Management and Capital Markets in Large Financial Institution, Experience leading in a large, diverse organization...SeniorWork at office
$17 per hour
A property management company is seeking a part-time Floor Technician in Raleigh, North Carolina. The role involves thorough cleaning of various floor areas, ensuring safety protocols are followed. Candidates should possess a valid Driver's license and have the ability...Hourly payPart timeFlexible hoursAfternoon shift$143k - $243k
...A leading pharmacy benefit management firm is seeking a Senior Principal Actuary to provide actuarial direction and innovative modeling. The role involves collaborating with underwriters, leading actuarial staff, and monitoring health policy impacts. Candidates should...SeniorRemote work- ...Scheduling Coordinator to join their team in Raleigh, NC. In this role, you will organize and schedule client visits, ensuring high-quality care and customer satisfaction. You will be key in maintaining caregiver-client relationships while achieving billable hour targets. The...SeniorFull time
$84.5k - $178.1k
...languages English Job Overview In OCI Finance, the Spotlights Team plays a critical role in driving financial excellence for OCI’s largest business segments and customers. We manage P&Ls, drive financial planning and modeling, and serve as trusted partners and advisors to OCI...$120k - $160k
...Senior Virology Care Specialist, Raleigh Remote (Raleigh) There are more than 9 million immunocompromised people in the United States... ...systems, and how decisions are made across these settings Manage your territory with a business owner mindset with accountability...SeniorFull timeTemporary workRemote workNight shift- ...Ally and Your Career Ally Financial only succeeds when its people... ...transforming our data governance and management capabilities to drive... ...Support metadata/lineage specialist in documentation of asset-level... ...up child and adult/elder day care program and childcare discounts...Permanent employmentWork experience placementRemote workFlexible hours
- Duke University Health System is hiring for a position that involves coordinating daily clinic preparation and assisting in patient management. Key responsibilities include patient check-in, appointment scheduling, and managing billing processes. Applicants should have...
- ...Job Description The Sr. Financial Analyst provides decision support by collecting, analyzing and interpreting data, as well as forecasting... ...information and respond to questions from groups of senior management, department heads, managers, and peers. Ability to define...SeniorContract workLocal area
- ...used for the greatest efficiency of team operations* Ability to manage multiple tasks, appropriately prioritize and manage time to... .../essential functions of the position required* Experience with financial/accounting systems, Oracle ERP system and Hyperion Essbase experience...SeniorTemporary workImmediate startFlexible hours
- ...Job Description The Sr. Financial Analyst provides decision support by collecting, analyzing and interpreting data, as well as forecasting... ...of results. Track ROI related to Inbound Freight management program and make recommendations for future program expansion...SeniorLocal area
- ...Auto Part's Finance team is focused on delivering strategic and financial planning support that optimizes our organization's performance... ...closely with the Director of Corporate Finance, Finance Managers, and business leaders to support strategic planning, deliver actionable...SeniorWork at officeLocal areaRemote work1 day per week
- ...Job Description Summary: The Sr. Financial Analyst provides decision support by collecting, analyzing and interpreting data, as well... ...in operating units as required, and to operating and senior management on matters involving cost determination problems, or issues such...SeniorLocal area
- ...Sr Commercial Portfolio Manager The Senior Commercial Portfolio Manager is a key member of the client team and credit leader within the organization... ...1926, is a North Carolina chartered, community-focused financial institution committed to providing value-added community...SeniorBank staffWork at officeLocal areaFlexible hours
- ...independent and in their own homes. Provide assistance with personal care. Assist with mobility, transfers and range of motion... .... Handle meal planning, preparation and feeding. Properly manage household needs. Provide companionship and respite services for...Flexible hours
$83.81k - $131.55k
...comprised of workers, but of people who care about their work, one another and their... ...departments that report directly up to our Chief Financial Officer. UMB’s CFO Administration team... ...Degree in Finance, Accounting, Business Management (with emphasis in Accounting) OR related...SeniorWork experience placementLocal areaFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Managed Care Financial Specialist, Sr. Be the first to apply!
Related searches
- professional caregiver Raleigh, NC
- on call caregiver Raleigh, NC
- morning caregiver Raleigh, NC
- part time weekend caregiver Raleigh, NC
- caregiver flexible schedules Raleigh, NC
- certified caregiver Raleigh, NC
- caregiver private home Raleigh, NC
- caregiver nights Raleigh, NC
- private live in caregiver Raleigh, NC
- caregiver overnight Raleigh, NC


