Team Lead, Managed Care Operations *hybrid*

Details Posted:

02-May-26

Location:

Raleigh, North Carolina Categories:

Admin /

Clerical Internal Number:

29808 Overview The Managed Care Operations Lead serves as a resource and advisor, directs all aspects of managed care operations including system wide credentialing with managed care plans, contract performance monitoring and reporting, and contract payment modeling and analysis. Works in collaboration with Chief Financial Officer, consultants Vice President of Finance, Director and Managed Care Specialists to recommend contracting strategies, perform complex contract modeling, and to monitor health plan performance. Acts as a liaison between Managed Care Contracting, Reimbursement, Patient Financial Services, Patient Access and other departments in the hospital in an effort to create seamless operational performance and reimbursement maximization related to managed care contracting and performance monitoring. Department Description Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org . EOE Licensure Not Applicable Education Bachelor's Degree Business Administration Or Healthcare Or Finance Or Related Field Required

• And Master's Degree Health Administration Or Business Preferred Experience 10 Years Managed Care Contracting Required
• With 7 Years Managed Care Contracting In Healthcare Required Create a Job Match for Similar Jobs Logo About WakeMed Health & Hospitals At WakeMed Health & Hospitals, we are guided by a simple
• yet powerful mission: to improve the health and well-being of our community by providing outstanding and compassionate care to all.

To deliver on this mission, WakeMed employs the "best minds and the biggest hearts" in the business. Our team includes over 8,500 experienced registered nurses, technologists, medical professionals, support staff, and a medical staff of more than 1,200 physicians and advanced practice providers who are dedicated to putting patients first.

When it comes to culture and benefits, we recognize that when we take good care of our employees, our employees can take even better care of our patients. We proudly offer competitive salaries that reflect background, experience and special skills. Our benefits programs are designed to give you and your family the support you need for today while planning for a successful tomorrow. We promote diversity in the ... workplace, provide equal employment opportunity for all qualified applicants, and we participate in E-verify.

We think it's pretty simple

• we care for our employees and our employees care for the community.

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