Manager, Managed Care

Baptist Health

Montgomery, Alabama, US
Managed care contracting principles
Resolve payer denials and underpayments
Financial analysis of reimbursement
The Manager, Managed Care shall be responsible for overseeing and direct operations of the Managed Care Contracting, Denials & Underpayments, and Denials Management teams

Job Summary

  • The Manager, Managed Care shall be responsible for overseeing and direct operations of the Managed Care Contracting, Denials & Underpayments, and Denials Management teams.
  • This individual is essential to develop and implement strategies to optimize managed care contracts, resolve payer denials and underpayments, and ensure compliance with regulatory and contractual obligations.
  • This position will be responsible for financial analysis of reimbursement, denial trends and contract performance, ensuring timely reporting.

Matching Summary

The Manager, Managed Care shall be responsible for overseeing and direct operations of the Managed Care Contracting, Denials & Underpayments, and Denials Management teams.

Skills & Requirements

Must-have

  • managed care contracting principles
  • resolve payer denials and underpayments
  • financial analysis of reimbursement
  • hospital billing practices
  • clinical and technical denials
  • continuous improvement initiatives

Nice-to-have

  • team development leadership
  • payer leadership engagement
  • ability to remain calm
  • work independently and in team

Key Requirements

  • Bachelor's degree required
  • Master's degree preferred
  • Minimum 10 years' experience
  • At least 5 years' management experience
  • Proven leadership in team development

Work Rights

Not specified

Tailored Resume

Cover Letter