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This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Senior Manager, Managed Care Contracting. In this pivotal role, you will drive the managed care process and contribute to the growth of Local Infusion by developing effective payer strategies. You will work collaboratively across various teams to ensure the efficient execution of contracting activities, while strengthening relationships with key health plans and payers. This opportunity allows you to make a significant impact in the infusion space and enhance the company's strategic objectives through effective negotiating and relationship management.
Accountabilities
- Initiate, develop, negotiate, and monitor contracts including renewals, amendments, and new agreements.
- Facilitate relationships with health plan partners and communicate value creation effectively.
- Oversee claims processing, appeals management, and utilization management.
- Ensure effective communication of contract information with operational and revenue cycle teams.
- Coordinate Managed Care Contracting efforts with newly acquired organizations.
- Stay informed on regulatory requirements impacting managed care contracting.
Requirements
- Bachelor's degree in Accounting, Business Administration, Finance, or Health Care.
- Minimum of 7 years of experience in managed care contracting or provider network management.
- Proven experience negotiating contracts with Medicare Advantage, Medicaid Managed Care, and commercial payers.
- Understanding of reimbursement strategies and value-based payment models.
- Knowledge of national payer landscapes, especially in the east coast & midwest.
- Strong communication skills to convey complex information clearly.
- Ability to analyze data, develop solutions and implement changes.
Benefits
- Remote working opportunity with flexible hours.
- Collaborative work environment with cross-functional teams.
- Competitive salary and benefits package.
- Opportunities for professional development and growth.
- Access to industry resources and networks.
- Engagement with innovative healthcare strategies.
Why Apply Through Jobgether?
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.
We appreciate your interest and wish you the best!
Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.
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We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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