Managed Care Manager

Medix Infusion is seeking a collaborative and strategic Managed Care Manager to lead payer relations and credentialing operations across our growing organization. In this key role, you’ll support patient access to high-quality care by managing credentialing, payer contract execution, reimbursement optimization, and regulatory readiness. As a subject matter expert in managed care, you will collaborate across our Intake, Scheduling, Pharmacy, and Clinical teams to ensure seamless coordination with Commercial, Medicare, Medicaid, and ACO/PHO partners.

Medix Infusion is a technology-driven healthcare platform enhancing patient care and access to infusion therapies, specializing in disease management and infusion pharmacy services for chronic and acutely ill patients, especially in underserved communities. We offer personalized home and in-suite infusion therapies, ensuring convenience and comfort. Our expert team provides a comprehensive range of treatments, including anti-infectives, biologics, IVIG, and other injectables, making each patient’s journey as smooth as possible

Key Responsibilities:

• Serve as the primary point of contact for internal teams and external payer partners
• Manage all aspects of credentialing, recredentialing, and enrollment for healthcare providers
• Build and maintain payer relationships with Commercial, Medicare, Medicaid, and ACO/PHO plans
• Lead the implementation and optimization of managed care contracts
• Facilitate Joint Operations Committees and other payer-based performance forums
• Develop and deliver cross-functional training, resource materials, and process documentation
• Monitor reimbursement trends and regulatory policy changes across assigned markets
• Support billing, claims resolution, and revenue cycle efforts through expert-level managed care navigation
• Oversee readiness programs to ensure patient access during new site launches and provider onboarding

Qualifications:

• High school diploma or equivalent required; Bachelor’s degree preferred (or equivalent work experience)
• 10+ years of experience in managed care, payer relations, credentialing, reimbursement, or healthcare operations
• 5+ years of experience with commercial payers, payer contracting, or provider enrollment
• Strong understanding of Medicare and Medicaid reimbursement methodologies
• Proven success building and managing payer relationships at the regional or national level
• Experience interpreting and operationalizing federal and state healthcare regulations
• Excellent organizational, communication, and stakeholder engagement skills
• Strong analytical mindset with problem-solving abilities and attention to detail
• Comfortable managing vendor relationships and coordinating multi-department initiatives
• Candidates will be required to complete a Predictive Index Assessment as part of the recruitment process.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk, and hear. There may be prolonged periods of sitting, keyboarding, and reading. The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include reading, distance, computer, and color vision. Talking and hearing are essential to communicate with patients, vendors, and staff.

Why Join Us?

• Compassionate Team: Join a dedicated team focused on exceptional patient care.
• Supportive Environment: Thrive in a positive work culture with growth opportunities.
• Competitive Compensation: Enjoy a comprehensive benefits package and competitive pay.
• Excellent Culture: Rated highly by our employees (NPS Score).
• Patient-First Approach: We treat others as we want ourselves or our families treated.
• Integrity: We are committed to doing the right thing in all situations.
• Team-Oriented: Work in a collaborative environment with an emphasis on positive intent.
• Comprehensive Benefits: Health and life insurance, voluntary dental/vision insurance.
• Retirement Savings: 401(k) plan with company contributions.
• Paid Time Off: Enjoy paid holidays and vacation time.

Medix Infusion offers a dynamic work environment, opportunities for professional growth, rewarding career challenges, and competitive compensation. We are an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status, or other characteristics protected by law.

Medix Infusion will only employ individuals who are legally authorized to work in the United States. Any offer of employment is conditioned upon the successful completion of pre-employment screenings.