Job Description
POSITION SUMMARY
The Manager Managed Care Contracting is responsible for negotiating managed care contracts with the payers and maintaining payer relationships for the health system. They are responsible for monitoring and evaluating managed care contracts, performance, and reimbursement rates to identify areas for improvement.
The Manager Managed Care Contracting will collaborate with finance, legal, compliance, and operations teams to ensure contracts meet regulatory requirements and organizational standards. They will stay abreast of changes in healthcare reimbursement, regulatory requirements, and industry’s best practices.
The Manager prepares accurate and comprehensive reports that present data and conclusions in a meaningful and concise format. Financial and statistical reporting may include trending analysis and projections, competitive/comparative studies, regulatory analysis and financial impact reports. The Manager acts as an internal financial and strategic consultant to management and provides support to new businesses and services as needed.
This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and demonstrating a commitment to teamwork and cooperation.
QUALIFICATIONS
EDUCATION: Bachelor’s Degree required.
LICENSE/CERTIFICATION: N/A
EXPERIENCE: Minimum of 2-3 years’ experience in healthcare finance, preferred experience in managed care contracting or revenue cycle. Well-developed computer skills required to effectively manipulate data and reports required. Excellent analytical and communication abilities required. Ability to work collaboratively across clinical, operational, and financial teams.
PERFORMANCE EXPECTATIONS
Demonstrates the competencies as established on the Assessment and Evaluation Tool for this position.
WORK ENVIRONMENT
This position requires sitting, standing, walking, stooping and crouching a majority of the workday. Works with equipment such as computer terminal, fax machine, printer and copier.
REPORTING RELATIONSHIP
This position reports to department leadership.
The above statement reflects the general details considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.
Total Rewards at AtlantiCare
At AtlantiCare, we believe in supporting the whole person. Our market-competitive Total Rewards package is designed to promote the physical, emotional, social, and financial well-being of our team members. We offer a comprehensive suite of benefits and resources, including:
Generous Paid Time Off (PTO)
Medical, Prescription Drug, Dental & Vision Insurance
Retirement Plans with employer contributions
Short-Term & Long-Term Disability Coverage
Life & Accidental Death & Dismemberment Insurance
Tuition Reimbursement to support your educational goals
Flexible Spending Accounts (FSAs) for healthcare and dependent care
Wellness Programs to help you thrive
Voluntary Benefits, including Pet Insurance and more
Benefits offerings may vary based on position and are subject to eligibility requirements.
Join a team that values your well-being and invests in your future.