Manager – Managed Care Contracting

🕒 September 3

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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Logo of Mercy

Mercy

10,000+ employees

Founded 1886

🏥 Healthcare

🤝 Non-profit

🧘 Wellness

💰 Grant on 2025-05

Healthcare • Non-profit • Wellness

Mercy is a large, community-focused nonprofit health system that operates hospitals, clinics, urgent and convenient care centers, and telehealth services. It offers patient-facing services including appointment scheduling, billing and payment options, provider directories, patient portals, multilingual support, community health education, and care coordination, with a mission-driven focus on improving health and wellness across the communities it serves.

📋 Description

• Implement Mercy's managed care strategy • Develop and manage relationships with health plans and internal and external stakeholders • Coordinate commercial, Medicare Advantage, Medicaid Managed Care, and other third-party managed care contracts • Manage payer relation activities • Ensure appropriate communication to internal and external constituents regarding programs, services, and relevant information • Perform duties consistently with Mercy's mission, values, and Service Standards

🎯 Requirements

• Bachelor’s degree in Healthcare Administration, Business Administration, or a related field • Minimum of 3–5 years of experience in Managed Care required • Contracting experience preferred • Experience in healthcare finance or revenue cycle is a plus and may be considered trainable for the right candidate, even without a Managed Care or Provider Relations background • Strong financial acumen • Analytical ability and efficiency • Strong problem-solving skills and sound judgment • Effective and timely decision-making • Well-developed oral and written communication skills • Understanding of health care delivery systems and the local/national health care environment • Strong industry relationships and understanding of hospital-physician dynamics • Ability to work under pressure with minimal supervision • Ability to manage multiple complex tasks simultaneously • Ability to complete projects on time and meet deadlines • Ability to learn quickly and understand Mercy services and market potential • High ethical standards

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Tuition support • Matched retirement plans for team members working 32+ hours per pay period • Fully remote work

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