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Managed Care Manager - Contracts

Memorial Healthcare System

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Job Description:

Corporate level manager responsible for deploying and contributing to strategic and tactical initiatives for negotiations with national and regional payors. Manages execution of contracting initiatives for integrated delivery system to drive positive financial trend and to achieve an appropriate market price point on behalf of health system's acute care, ancillary and professional providers. Responsible for securing negotiations of all contractual provisions, implementing appropriate financial reimbursement models, and supporting operations by collaborating with clinical and operational staff to preserve revenue and address payer imposed challenges.

Job Responsibility:

  • Execute and manage legal, financial and operational contract language negotiations in concert with the Director of Managed Care
  • Contribute and coordinate negotiations of ancillary services in concert with the Director of Managed Care
  • Enhance, estimate and preserve net revenues and build market share
  • Escalate, monitor and manage operational issues from Managed Care Revenue Optimization, Accounts Receivable Management or Joint Operations
  • Address all single-case negotiations with non-contracted payors
  • Respond to insurance industry activities, healthcare reform, payer strategies, emerging market demands and legislative considerations

Requirements:

  • Bachelors (Required)
  • 5 years contracting experience with 3 years contracting for hospital, professional services, ancillary facilities or specialty networks

Additional Information:

Job Posted:
May 04, 2026

Employment Type:
Fulltime
Work Type:
On-site work
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