Manager Managed Care Contracting

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. Pay Transparency In order to support the Fair Compensation Strategy by the US Govt., HR Dept., clients are required to adhere to "Pay Transparency Law"; in the impacted states; that have mandated the employers to list the salary ranges in Job advertisements or postings for job opportunities and Job promotions. Manager Managed Care Contracting 3.7 3.7 out of 5 stars Egg Harbor Township, NJ 08234 $86,751 - $151,814 a year AtlantiCare 544 reviews $86,751 - $151,814 a year

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. Pay Transparency In order to support the Fair Compensation Strategy by the US Govt., HR Dept., clients are required to adhere to "Pay Transparency Law"; in the impacted states; that have mandated the employers to list the salary ranges in Job advertisements or postings for job opportunities and Job promotions.