Manager of Managed Care Job at Insight Global, Camden, NJ

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  • Insight Global
  • Camden, NJ

Job Description

Thank you so much for your interest! We're looking for someone who comes from the leadership level (Manager, Supervisor, Team Lead, etc) within Managed Care.

Title : Manager of Managed Care

Location: Camden NJ 08103

Schedule: Monday - Friday, 8AM-4:30PM (will go hybrid, 2 days WFH, after 90 days)

Salary Range: $100k-$125k

Requirements:

  • Bachelor's degree in Business, Finance, Management or Healthcare (Master's preferred, or equivalent experience)
  • 4+ years of financial and managed care contracting leadership experience in a health care or health plan environment
  • Must understand health plans, managed care delivery systems, and/or alternative financing systems
  • Knowledgeable of federal and state regulations
  • Experienced in negotiating/contracting processes (with payers is desired)
  • Understands basic financial principles and data systems
  • EPIC experience (highly preferred)

Job Description:

One of Insight Global's Hospital clients is looking for a Manager of Managed Care to join their team. This individual will be responsible for the following:

- Drafting, Reviewing, Negotiating, and finalizing a variety of contracts covering transactions for hospital and physician entities

- Build and sustain relationships with external payers, and internal billing, finance, legal, physicians, and administration (Main POC for contract related matters)

- Maintain records and documentation for established and ongoing contracts, ensuring the contract library is up to date

- Monitor contracts and proceed with close out, extension, or renewal based on the company's best interest

- Tracking and monitoring data related to outstanding settlements/projects for payer payment issues

- Manage and maintain reporting on payor trends, contract compliance, and contract modeling using EPIC, Strata, Webi, etc.

- Complete facility recredentialing applications

Job Tags

Contract work, Monday to Friday,

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