Top 18 Director of administration Jobs in Tennessee

Sr. Director, Medical Administration & Financial Management
Core Civic —Brentwood, TN
- $119,700 - $129,000 a year
- Full-time
- 5 years
- Office
- Bachelor's degree
5d
Assistant Business Office Director
Opus East Memphis —Memphis, TN
- $25 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Dental insurance
- Tuition reimbursement
Quick Apply
Director of Administration
Summit. Physical Therapy —Chattanooga, TN
- Full-time
- Management
- Mid-level
- Office
- Mileage reimbursement
- Paid holidays
Associate Director of Donor Engagement and Administration, Engineering
Vanderbilt University —Nashville, TN
- Weekends as needed
- Hybrid work
- Research
- Office
- 3 years
Director, Contract Administration
Lifepoint Health —Tennessee
- Full-time
- Oracle
- 5 years
- Bachelor's degree
- Disability insurance
- Health insurance
Quick Apply
Director of Operations
Watkins Home Team —Johnson City, TN
- $50,000 - $70,000 a year
- Full-time
- Google Workspace
- Mid-level
- Office
- Flexible schedule
Quick Apply
Director of Front Office
Homewood Suites Nashville Downtown The Gulch —Nashville, TN
- Full-time
- Hotel
- Senior level
Quick Apply
14d
Director of Front Office
The Joseph —Nashville, TN
- Weekends as needed
- Mid-level
- 3 years
- Leadership
- Loan repayment program
- Health insurance
Director, Human Resources & Administration
Monroe Harding Inc. —Nashville, TN
- $75,000 - $85,000 a year
- Online Application
- Adults
- Administrative experience
- Bachelor's degree
- Disability insurance
- Health insurance
Quick Apply
Assistant Director – Office of Campus Culture and Community - UTK
University of Tennessee - Knoxville —Knoxville, TN
- From $66,000 a year
- Full-time
- Mid-level
- Master's degree
- University
9d
Assistant Director – Office of Campus Culture and Community - UTK
University of Tennessee Health Science Center —Knoxville, TN
- From $66,000 a year
- Full-time
- Research
- Mid-level
- Master's degree
9d
Director of Communications
Title Group of Tennessee —Johnson City, TN
- $40,000 - $45,000 a year
- Full-time
- Computer literacy
- Writing skills
- Basic math
Quick Apply
1d
Director of Operations
MMAS CPA —Pulaski, TN
- $60,000 - $75,000 a year
- Full-time
- Microsoft Outlook
- Office
- Driver's License
- Relocation assistance
- Dental insurance
Quick Apply
6d
Director of First Impressions
Douglass & Runger PLLC —Bartlett, TN
- $20 - $22 an hour
- Full-time
- Hybrid work
- In-person
- Senior level
- AD&D insurance
- Disability insurance
Quick Apply
Executive Assistant to Library Executive Director
City of Chattanooga, TN —Chattanooga, TN
- $23.19 - $28.02 an hour
- Full-time
- Background check
- English
- Research
- Health insurance
- Paid time off
6d
Festival Coordinator / Executive Director Assistant
Asian Culture Center of TN —Knoxville, TN
- Up to $18 an hour
- Weekends as needed
- Google Workspace
- Marketing
- Mid-level
Quick Apply

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Sr. Director, Medical Administration & Financial Management

Core Civic -
Brentwood, TN

Apply Now

Job Details

Full-time
$119,700 - $129,000 a year
5 days ago

Qualifications

Medicare
Spreadsheets
CMS
CMS regulatory compliance
Health insurance knowledge
Medicare regulations
Centers for Medicare & Medicaid Services (CMS) billing regulations
Productivity software

Full Job Description

$119,700 - $129,000 / Annually

At CoreCivic, our employees are driven by a deep sense of service, high standards of professionalism and a responsibility to better the public good. CoreCivic is currently seeking a Sr. Director, Medical Administration & Finance Management. Come join a team that is dedicated to making an impact for the people and communities we serve.

This position requires days onsite in Brentwood, TN.

SUMMARY:
The Senior Director, Medical Administrative and Financial Management leads all aspects of the provider network, claims, and financial administration, planning, and analysis functions for Health Services through collaboration with internal CoreCivic business units, CoreCivic facilities and outside providers to ensure proper payment of healthcare claims, availability of offsite and onsite specialty providers, and effective use of non-labor medical cost financial resources. Develops and executes strategies and methodologies to deliver effective claims processing, robust and cost-effective provider networks, and adherence to non-labor medical budgets. Actively collaborates with leaders from other departments within Health Services that impact claims processing, provider networks, and medical cost to ensure overall operational effectiveness.

ESSENTIAL FUNCTIONS:
The incumbent should be able to perform all of the following functions at a pace and level of performance consistent with the job performance requirements.

Oversees the day-to-day claims processes, including inventory management and claims processing, claim adjustments, recoupments, and refunds to meet internal and industry (CMS) quality and timeliness standards.
Oversees the day-to-day provider network processes, including provider contract agreements, provider relations, and expanding access to care for medical services not delivered internally by CoreCivic medical team members, and acts as an approver and signatory for provider agreements.
Develops regular and ad-hoc reporting and analysis for non-labor medical costs, manages and administrates health services budgets, and assists with the development and implementation of non-financial health services reporting as needed.
Builds a high-functioning team that meets all operating goals, including quality, efficacy and cost of health care, administrative expense, customer service, performance improvement, regulatory requirement satisfaction, and staff engagement.
Works with the executive leadership to execute the mission and goals established for the Health Services team.
Defines the direction and strategy for the Provider Network, Claims Processing, and financial management functions. Identifies gaps in systems, technology, budget, and processes for responsible teams.
Develops, manages, and maintains staffing plans to support fluctuating resident populations, driven by new business, new products, or department changes that are designed to meet or exceed the defined performance standards.
Provides mentoring, coaching, and support to direct reports to build and strengthen team effectiveness.
Provides access and direction to internal and external educational resources to aid in closing any technical gaps as they arise.
Acts as a liaison between claims, provider network, utilization management, scheduling, and offsite medical providers to ensure claims are processed accurately and timely.
Works with corporate and operations finance teams to effectively describe, monitor, and help mitigate offsite medical costs.
Develops and implements operational strategy to reduce offsite medical spend, claims inventory, reduce claims processing costs, and maximize claims compliance efforts.
Develops and directs team to meet KPI's in all areas of responsibility.
Maintains up-to-date industry knowledge related to claims processing, provider network, and financial management, including compliance requirements and claim integrity; stop loss markets, trends, and issues; payer consolidation; and other pertinent industry standards.
Develops, reviews, implements, and oversees effective administration of policies and procedures in accordance with contract compliance as well as regulatory and accreditation requirements. Including confidentiality policies, PHI and other sensitive data or information in compliance with company and regulatory guidelines.
Analyzes data and identifies trends, including effective action plan deployment, timely and effective communication upward to address areas of concern and assure prompt resolution.
Manages the periodic reporting and analysis of all health services financial functions.
Develops and reports meaningful insights to health services leadership via collection and analysis of raw data from a variety of sources, including medical record system data, medical claims data, financial systems data, as well as other sources.
Develops and implements deployment of new products, initiatives, workflows, or strategies designed to enhance the services offered to clients.
Develops action plans to facilitate needed changes for claims processing, provider network, and financial management.
Provides ongoing communication to Health Services leadership about key projects, goals, operating numbers and performance measures, challenges, and barriers to assure timely and effective issues escalation.
Assists with budget and labor resource review sessions in the annual strategic planning process, to include full ownership of strategy and initiatives for designated areas of responsibility, and development of department-level performance measures aligned with the strategic plan.
Develops and oversees financial management of designated operational department budget and company fiscal responsibility for all of Health Services.
Assists as a technical liaison between health services and information technology teams in the deployment of new or upgrading technology solutions to support the broader health services teams.
Supervises staff in the performance of their duties and evaluates as prescribed by company policy. This includes onboarding new employees, evaluating performance and preparing written performance reviews, listening to concerns and effectively resolving disputes or issues, taking corrective or disciplinary action, developing work schedules for staff and approving leave requests.
Collaborates with HR and Health Services leadership for hiring, developing, training, mentoring, and retaining high quality, productive employees.
Domestic U.S. travel may be required.

QUALIFICATIONS:

Graduate from an accredited college or university with a Bachelor’s degree is required.
7+ years of experience in claims processing, provider network development, or financial management within the health insurance industry or corrections-based administrative healthcare is required, including five years of supervisory experience in healthcare cost and/or clinical data analysis and with coding systems such as HCPCS, CPT, and/or ICD is required.
Additional medical claims or utilization management experience may be substituted for the required education on a year-for-year basis.
Knowledge and understanding of Medicare/CMS requirements is required.
Excellent analytical and decision-making skills is preferred.
Must be organized, attentive to detail, and able to multi-task while maintaining a professional demeanor.
Strong leadership skills are a prerequisite, including excellent interpersonal, communications, problem solving and negotiating skills.
Proficiency in Microsoft Office applications required, including intermediate or advanced proficiency with Microsoft Excel.

CoreCivic is a Drug Free Workplace & EOE – Vets/Disabled.

Apply Now

Refine Your Search

director of administration jobs in tennessee

Sr. Director, Medical Administration & Financial Management

Assistant Business Office Director

Director of Administration

Associate Director of Donor Engagement and Administration, Engineering

Director, Contract Administration

Director of Operations

Director of Front Office

Director of Front Office

Director, Human Resources & Administration

Assistant Director – Office of Campus Culture and Community - UTK

Assistant Director – Office of Campus Culture and Community - UTK

Director of Communications

Director of Operations

Director of First Impressions

Executive Assistant to Library Executive Director

Festival Coordinator / Executive Director Assistant

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