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

dGtqb1RsbEhaOWpucFZONGZDWHc1eFRVSEE9PQ==
  • 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,

Similar Jobs

SURESTAFF LLC

Outside Sales Representative Job at SURESTAFF LLC

 ...We are looking for a dynamic Outside Sales Representative to promote, sell, and secure new business. The main responsibilities of our salesperson include but are not limited to, making inside and outside sales calls, cold calling, generating new leads, sales visits, sales... 

International Leadership of Texas

Math Instructional Coach Job at International Leadership of Texas

 ...Certified Instructional Coaches starting at 67,655* Non-Certified Instructional Coaches starting at 64,995**Starting amount shown includes a $5,000 Liberty County hiring incentive. Primary Purpose: The Math Instructional Coach reports directly to the Dean... 

Baja Management Corporation

Hotel General Manager - Holiday Inn Express Job at Baja Management Corporation

 ...cleanliness and upkeep of the hotel's rooms, public areas, and grounds in order to cultivate a reputation for quality Empower hotel...  ...Development and Management Company. BAJA owns/manages the Holiday Inn Express - Atchison, Quality Inn - Atchison, and Sleep Inn - Fort Scott,... 

The Charleston Place

Senior Executive Pastry Chef Job at The Charleston Place

 ...Excellence Integrity Passion Grace Communication Learning Humility JOB DESCRIPTION: As the Senior Executive Pastry Chef, you will oversee the entire pastry operation across our hotels outlets. This role requires exceptional leadership, creativity,... 

EPM Scientific

Director of Clinical Operations Job at EPM Scientific

 ...Director Clinical Operations San Francisco, CA - Hybrid $210,000- $240,000 We are partnered with an innovative Biotechnology company that is looking for their next Director of Clinical Operations. They have a robust pipeline of early to mid-phase trials and are in...