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 contract optimization
resolve payer denials and underpayments
financial analysis of reimbursement
drive continuous improvement initiatives
hospital billing practices knowledge
Nice-to-have
ability to remain calm
work independently and in a team
meet strict deadlines
Key Requirements
Bachelor's degree required
Master's degree preferred
10 years progressive experience in healthcare financial field