CrawlJobs Logo

Managed Care Senior Manager

United States, Fort Lauderdale · Job Posted May 04, 2026
Apply Position
Job Link Share

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. Implement strategic and tactical initiatives to achieve organization and department goals.

Job Responsibility

  • Execute, contribute and manage complex legal, financial and operational contract language negotiations in concert with the Director of Managed Care or independently as applicable to the negotiation
  • Execute contracting strategies for all service lines in Memorial Hospitals, MHS employed physicians, transplant programs, and ancillary services of the fully integrated healthcare delivery system and its joint owned or joint ventured entities for fee for service and value based arrangements
  • Direct and analyze financial performance, reports and models, quality metrics and cost savings for negotiations with national and regional payors
  • Plan and monitor activities of staff and team members including hiring, orienting, training, mentoring, continuing education, evaluating, coaching and disciplinary actions
  • Enhance, estimate and preserve net revenues
  • Assure financial viability of contracts through financial analysis and forecasting in conjunction with Financial Analyst(s), contract negotiations and issue resolution
  • Execute strategies and guides operations to protect and build market share
  • Interface with managed care plans on claim reconciliations, trended issues and operational projects
  • Determine root cause and seek resolution
  • Evaluate payor assessments of overpayments and effectively dispute or resolve for settlement
  • Escalate, monitor and manage operational issues from Managed Care Revenue Optimization, Accounts Receivable Management or Joint Operations for solution or potential dispute resolution
  • Advise and support optimal operational performance by collaborating with other departments and facility leadership impacted by payer organizations policies for authorization, denials, discharge planning, pharmaceutical programs
  • Communicate, coordinate and research to collect information to resolve issues
  • Research new business opportunities (relationships, pricing, services, structures, operations, quality)
  • Respond to insurance industry activities, healthcare reform, payer strategies, emerging market demands and legislative considerations and changes to the managed care industry to maintain and competitive position
  • Monitor department operations, activities, resources to meet budget and goals

Requirements

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

Looking for more opportunities?

Search for other job offers that match your skills and interests.

Similar Jobs for

Managed Care Senior Manager

8 matching positions

Senior Manager, Skin Care Category Strategy & Planning

The Category Strategy & Planning (CS&P) organization leads category strategy and...
Location
Location
United States , Hoboken
Salary
Salary:
119400.00 - 179000.00 USD / Year
unilever.com Logo
Unilever
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor's degree required, MBA preferred
  • At least +5 years' experience in Customer Development, Account Management, Trade Marketing, Category Strategy, and/or Brand Marketing Operations within Consumer Goods industry
  • Results driven and ownership mindset to achieve set goals and KPIs
  • Proven ability to demonstrate analytical thinking, data-driven decision making, and ability to influence through strategy story-telling through data and insights
  • Retail, eCommerce, and Omnichannel experience preferred
  • Ability to think strategically, and produce results in a highly entrepreneurial environment
  • Excellent oral/written and presentation skills
  • ability to tailor your communication style across a multitude of disciplines leadership levels
  • Energized by collaborating with cross-functional partners on new and creative ways to solve business problems
  • Encourages ownership to resolve issues where they are happening. Holds others and organization accountable for delivery
Job Responsibility
Job Responsibility
  • Lead profitable growth for the U.S. Skin Care category, bringing an entrepreneurial, challenger mindset to reignite competitive performance and accelerate category momentum
  • Translate data into insight and insight into action by developing and executing robust commercial plans aligned to the Category Growth Strategy and key Category Value Drivers
  • Own the development of annual growth targets, trade investment budgets, and forecasts that ladder directly to the Hair Care P&L and deliver both top- and bottom-line KPIs
  • Set and deploy channel strategy for the category, ensuring holistic, disciplined customer investment across channels and customers to drive sustainable, profitable growth
  • Lead deep-dive commercial analytics, including pricing architecture, distribution gaps, competitive dynamics, trade optimization, promotional effectiveness, and shopper insights to inform strategic and tactical decision-making
  • Serve as the voice of the customer, channel, and shopper within IBP and JBP processes, while also representing category and brand priorities externally with customers and internally with sales and field teams
  • Own category assortment and promotional strategy, leveraging data-driven analysis to continuously optimize promotional plans, improve ROI, and enhance in-market execution
  • Partner closely with field sales and cross-functional teams to ensure best-in-class in-store activation, flawless execution of national cross-category and cross-customer tentpole programs, and successful innovation launch planning and execution
What we offer
What we offer
  • health insurance (including prescription drug, dental, and vision coverage)
  • retirement savings benefits
  • life insurance and disability benefits
  • parental leave
  • sick leave
  • paid vacation and holidays
  • access to numerous voluntary benefits
  • Fulltime
Read More
Arrow Right

Senior Product Manager, Workplace Care

Reporting to the Associate Director of Product, Complex Care, you will take on a...
Location
Location
United States , New York
Salary
Salary:
150000.00 - 202400.00 USD / Year
springhealth.com Logo
Spring Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s degree in Business, Computer Science, Engineering, or a related field
  • 5+ years of product management experience with a solid track record of delivering successful products within or adjacent to the healthcare industry
  • Experience building clinical tools or EHR systems, with a deep understanding of provider workflows, documentation processes, and the realities of clinical practice
  • Empathy for providers and clinical teams
  • Broad healthcare knowledge, ideally spanning beyond mental health
  • Comfort with a high-growth, dynamic environment, and an ability to balance agility with consistency
  • An ability to navigate ambiguity, with a bias towards rapid execution over process
  • A self starter who thrives when given autonomy, with aptitude and desire to build effective internal and external relationships
  • Strong technical knowledge and foundation in AI/ML and SaaS capabilities
Job Responsibility
Job Responsibility
  • Design tools that enable care teams, clinical operations, and providers to operate efficiently, confidently, and consistently across all Workplace Care services
  • Improve the experience of members seeking workplace support by reducing time to care, clarifying next steps, and ensuring smoother, more connected care journeys
  • Partner closely with clinical operations to understand workflow needs and craft solutions that reduce administrative burden and elevate care quality
  • Identify opportunities to simplify and standardize workplace workflows— intake, triage, coordination, documentation, or follow-up—to improve reliability and outcomes
  • Use automation and intelligent workflow design (including AI where appropriate) to streamline manual tasks and support faster, more accurate service delivery
  • Gather and synthesize insights from care teams, employers, and internal stakeholders to inform product direction and continuous improvement
  • Collaborate with Data Science to define metrics and evaluate the impact of workflow improvements on efficiency, timeliness, satisfaction, and outcomes
  • Work cross-functionally with Engineering, Design, Clinical Ops, Customer Success, and the AI Servicing Platform team to deliver scalable, high-quality solutions
  • Lead the full product lifecycle—from problem discovery to launch—with clarity, structure, and strong cross-functional alignment
What we offer
What we offer
  • Health, Dental, Vision benefits start on your first day
  • Access to HSA and FSA plans, with Spring contributing up to $1K for HSAs
  • Employer sponsored 401(k) match of up to 2%
  • A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents
  • Competitive paid time off policies including vacation, sick leave and company holidays
  • At 6 months tenure, parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents
  • Access to Noom, a weight management program
  • Access to fertility care support through Carrot, in addition to $4,000 reimbursement for related fertility expenses
  • Access to Wellhub for fitness, mindfulness, nutrition, and sleep
  • Access to BrightHorizons for child care, back-up care, and elder care
  • Fulltime
Read More
Arrow Right

Senior Manager of Optimized Care Solutions – Enterprise Corporate Accounts

The Senior Manager of Optimized Care Solutions is responsible for building, expa...
Location
Location
United States , Deerfield; Chicago
Salary
Salary:
160000.00 - 220000.00 USD / Year
https://www.baxter.com/ Logo
Baxter
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 10+ years of relevant experience
  • Hospital or health system operational experience (e.g., nursing, informatics, clinical operations, or related) combined with demonstrated commercial experience in provider-facing roles (sales, business development, strategy)
  • Track record of building and influencing relationships at the C-suite / senior leadership level within provider organizations
  • Understanding of hospital operations, clinical workflows, decision-making hierarchies, and health system dynamics
  • Ability to translate clinical, operational, and financial perspectives to shape strategic enterprise dialogues
  • Strong executive presence, consultative communication skills, structured problem-solving ability, and negotiation acumen
  • Experience orchestrating cross-functional teams across complex organizations
  • Bachelor’s degree required
  • Willingness/ability to travel for executive meetings and customer site visits at least 50% of the time
Job Responsibility
Job Responsibility
  • Establish, nurture, and grow relationships with senior executives and stakeholders (CMO, CNO, CNIO, CNE, CPSE, COO, etc.)
  • Serve as Baxter’s primary strategic clinical liaison to health system leadership, securing trust and credibility at the clinical stakeholder enterprise level
  • Identify and prioritize system‑level opportunities (cross-portfolio, transformation initiatives) and align Baxter solutions to those opportunities
  • Co‑develop multi‑year, cross‑divisional account plans in concert with HSEs and Baxter internal teams
  • Lead executive dialogues focused on portfolio positioning, long-term partnership, and sophisticated solution alignment (beyond product selling)
  • Collaborate with internal functional teams (sales, marketing, medical affairs, service, contracting) to design and execute cohesive commercial plans
  • Support enterprise-level agreements, governance processes, business reviews, and executive briefings
  • Act as internal voice of the customer—escalating key insights, influencing prioritization of internal resources, shaping product or service enhancements
  • Stay abreast of trends in healthcare delivery, hospital operations, workforce pressures, digital integration, and system-level strategies
  • Mentor and promote exemplary enterprise selling behaviors, consultative engagement, and relational growth mindset
What we offer
What we offer
  • Medical and dental coverage that start on day one
  • Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
  • Employee Stock Purchase Plan (ESPP)
  • 401(k) Retirement Savings Plan (RSP)
  • Flexible Spending Accounts
  • Educational assistance programs
  • Paid holidays
  • Paid time off ranging from 20 to 35 days based on length of service
  • Family and medical leaves of absence
  • Paid parental leave
  • Fulltime
Read More
Arrow Right

Senior Manager of Optimized Care Solutions – Enterprise Corporate Accounts

As a member of Baxter’s sales team, you’ll be aligned to one of our global busin...
Location
Location
United States , Deerfield; Chicago
Salary
Salary:
160000.00 - 220000.00 USD / Year
https://www.baxter.com/ Logo
Baxter
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 10+ years of relevant experience
  • Hospital or health system operational experience (e.g., nursing, informatics, clinical operations, or related) combined with demonstrated commercial experience in provider-facing roles (sales, business development, strategy)
  • Track record of building and influencing relationships at the C-suite / senior leadership level within provider organizations
  • Understanding of hospital operations, clinical workflows, decision-making hierarchies, and health system dynamics
  • Ability to translate clinical, operational, and financial perspectives to shape strategic enterprise dialogues
  • Strong executive presence, consultative communication skills, structured problem-solving ability, and negotiation acumen
  • Experience orchestrating cross-functional teams across complex organizations
  • Bachelor’s degree required
  • Willingness/ability to travel for executive meetings and customer site visits at least 50% of the time
Job Responsibility
Job Responsibility
  • Establish, nurture, and grow relationships with senior executives and stakeholders (CMO, CNO, CNIO, CNE, CPSE, COO, etc.)
  • Serve as Baxter’s primary strategic clinical liaison to health system leadership, securing trust and credibility at the clinical stakeholder enterprise level
  • Identify and prioritize system‑level opportunities (cross-portfolio, transformation initiatives) and align Baxter solutions to those opportunities
  • Co‑develop multi‑year, cross‑divisional account plans in concert with HSEs and Baxter internal teams
  • Lead executive dialogues focused on portfolio positioning, long-term partnership, and sophisticated solution alignment (beyond product selling)
  • Collaborate with internal functional teams (sales, marketing, medical affairs, service, contracting) to design and execute cohesive commercial plans
  • Support enterprise-level agreements, governance processes, business reviews, and executive briefings
  • Act as internal voice of the customer—escalating key insights, influencing prioritization of internal resources, shaping product or service enhancements
  • Stay abreast of trends in healthcare delivery, hospital operations, workforce pressures, digital integration, and system-level strategies
  • Mentor and promote exemplary enterprise selling behaviors, consultative engagement, and relational growth mindset
What we offer
What we offer
  • Medical and dental coverage that start on day one
  • Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
  • Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount
  • 401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching
  • Flexible Spending Accounts
  • Educational assistance programs
  • Paid holidays
  • Paid time off ranging from 20 to 35 days based on length of service
  • Family and medical leaves of absence
  • Paid parental leave
  • Fulltime
Read More
Arrow Right

Senior Manager of Optimized Care Solutions – Enterprise Corporate Accounts

The Senior Manager of Optimized Care Solutions is responsible for building, expa...
Location
Location
United States , Deerfield; Chicago
Salary
Salary:
160000.00 - 220000.00 USD / Year
https://www.baxter.com/ Logo
Baxter
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 10+ years of relevant experience
  • Hospital or health system operational experience (e.g., nursing, informatics, clinical operations, or related) combined with demonstrated commercial experience in provider-facing roles (sales, business development, strategy)
  • Track record of building and influencing relationships at the C-suite / senior leadership level within provider organizations
  • Understanding of hospital operations, clinical workflows, decision-making hierarchies, and health system dynamics
  • Ability to translate clinical, operational, and financial perspectives to shape strategic enterprise dialogues
  • Strong executive presence, consultative communication skills, structured problem-solving ability, and negotiation acumen
  • Experience orchestrating cross-functional teams across complex organizations
  • Bachelor’s degree required
  • Willingness/ability to travel for executive meetings and customer site visits at least 50% of the time
Job Responsibility
Job Responsibility
  • Establish, nurture, and grow relationships with senior executives and stakeholders
  • Serve as Baxter’s primary strategic clinical liaison to health system leadership
  • Identify and prioritize system‑level opportunities and align Baxter solutions
  • Co‑develop multi‑year, cross‑divisional account plans
  • Lead executive dialogues focused on portfolio positioning and long-term partnership
  • Collaborate with internal functional teams to design and execute cohesive commercial plans
  • Support enterprise-level agreements, governance processes, business reviews, and executive briefings
  • Act as internal voice of the customer
  • Stay abreast of trends in healthcare delivery, hospital operations, workforce pressures, digital integration, and system-level strategies
  • Mentor and promote exemplary enterprise selling behaviors
What we offer
What we offer
  • Medical and dental coverage
  • Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
  • Employee Stock Purchase Plan (ESPP)
  • 401(k) Retirement Savings Plan (RSP)
  • Flexible Spending Accounts
  • Educational assistance programs
  • Paid holidays
  • Paid time off ranging from 20 to 35 days based on length of service
  • Family and medical leaves of absence
  • Paid parental leave
  • Fulltime
Read More
Arrow Right

Senior Manager of Optimized Care Solutions – Enterprise Corporate Accounts

The Senior Manager of Optimized Care Solutions is responsible for building, expa...
Location
Location
United States , Deerfield
Salary
Salary:
160000.00 - 220000.00 USD / Year
https://www.baxter.com/ Logo
Baxter
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 10+ years of relevant experience
  • Hospital or health system operational experience (e.g., nursing, informatics, clinical operations, or related) combined with demonstrated commercial experience in provider-facing roles (sales, business development, strategy)
  • Track record of building and influencing relationships at the C-suite / senior leadership level within provider organizations
  • Understanding of hospital operations, clinical workflows, decision-making hierarchies, and health system dynamics
  • Ability to translate clinical, operational, and financial perspectives to shape strategic enterprise dialogues
  • Strong executive presence, consultative communication skills, structured problem-solving ability, and negotiation acumen
  • Experience orchestrating cross-functional teams across complex organizations
  • Bachelor’s degree required
  • Willingness/ability to travel for executive meetings and customer site visits at least 50% of the time
Job Responsibility
Job Responsibility
  • Establish, nurture, and grow relationships with senior executives and stakeholders (CMO, CNO, CNIO, CNE, CPSE, COO, etc.)
  • Serve as Baxter’s primary strategic clinical liaison to health system leadership, securing trust and credibility at the clinical stakeholder enterprise level
  • Identify and prioritize system‑level opportunities (cross-portfolio, transformation initiatives) and align Baxter solutions to those opportunities
  • Co‑develop multi‑year, cross‑divisional account plans in concert with HSEs and Baxter internal teams
  • Lead executive dialogues focused on portfolio positioning, long-term partnership, and sophisticated solution alignment (beyond product selling)
  • Collaborate with internal functional teams (sales, marketing, medical affairs, service, contracting) to design and execute cohesive commercial plans
  • Support enterprise-level agreements, governance processes, business reviews, and executive briefings
  • Act as internal voice of the customer—escalating key insights, influencing prioritization of internal resources, shaping product or service enhancements
  • Stay abreast of trends in healthcare delivery, hospital operations, workforce pressures, digital integration, and system-level strategies
  • Mentor and promote exemplary enterprise selling behaviors, consultative engagement, and relational growth mindset
What we offer
What we offer
  • Medical and dental coverage that start on day one
  • Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
  • Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount
  • 401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching
  • Flexible Spending Accounts
  • Educational assistance programs
  • Paid holidays
  • Paid time off ranging from 20 to 35 days based on length of service
  • Family and medical leaves of absence
  • Paid parental leave
  • Fulltime
Read More
Arrow Right

Senior Product Manager, Data Ingestion & Care Enablement

As a Senior Product Manager on our Data Ingestion & Care Enablement (DICE) team,...
Location
Location
United States
Salary
Salary:
148750.00 - 175000.00 USD / Year
thymecare.com Logo
Thyme Care
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 4+ years of experience in product management, data operations, or a related role within healthcare
  • Direct experience working with healthcare claims data, eligibility files, and value-based care data in a payer, provider, or health tech environment
  • Track record of managing complex data integrations or implementations with external partners
  • Experience collaborating closely with data science and data engineering teams
  • comfortable with SQL and working in data-heavy environments
  • Proven ability to manage competing priorities across multiple partners and internal stakeholders simultaneously
  • Strong written and verbal communication skills, with the ability to translate technical concepts for non-technical audiences and vice versa
  • Experience operating effectively in ambiguous, fast-moving environments where you had to define the path forward
Job Responsibility
Job Responsibility
  • Own partner data integrations end-to-end: lead implementations with payers and providers, managing data ingestion, quality, enrollment logic, and return files from kickoff through go-live and ongoing operations
  • Serve as a primary point of contact for external data counterparts: negotiate data specifications, troubleshoot issues, and build strong working relationships with partner organizations
  • Translate technical complexity into business clarity: break down intricate data and integration challenges into actionable requirements that product, engineering, and data science teams can execute against
  • Drive cross-functional alignment: coordinate across DICE, growth, health economics, clinical operations, and care delivery teams to ensure data-dependent initiatives stay on track
  • Build and maintain operational visibility: develop monitoring, dashboards, and proactive alerting so the team can shift from reactive problem-solving to proactive management of data quality and integration health
  • Own analyses that drive decisions: lead work on eligibility reconciliation, claims analysis, enrollment trends, and other data investigations that inform executive and operational decision-making
  • Shape the DICE roadmap: partner with your team lead to identify opportunities, prioritize initiatives, and drive multi-quarter projects that improve how Thyme Care acquires, processes, and leverages data
  • Leverage AI to accelerate your work: stay current with AI tools and capabilities, applying them where they can improve your own productivity and the effectiveness of data workflows
What we offer
What we offer
  • Equity
  • Other opportunities at Thyme Care
  • Fulltime
Read More
Arrow Right

Senior Digital Commerce Manager for Personal Care

As a Senior Key Customer Manager KCM) for Ecommerce – Personal Care, you will be...
Location
Location
Philippines , Metro Manila
Salary
Salary:
Not provided
unilever.com Logo
Unilever
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s degree required
  • 3-5 years of progressive experience in Customer Development, Sales, or Key Account Management, ideally within the consumer goods or FMCG industry
  • Demonstrated success managing modern trade accounts, with proven ability to drive sales growth through joint business planning
  • Exceptional stakeholder and customer management skills
  • able to influence and build partnerships across all levels
  • Highly analytical and data-driven with advanced proficiency in MS Excel and business analytics tools
  • Agile, self-motivated, and proactive
  • thrives in a fast-paced, dynamic environment with a relentless drive for results
  • Strong attention to detail and operational discipline
  • able to manage multiple projects simultaneously
Job Responsibility
Job Responsibility
  • Own and deliver sales growth, profitability, and competitive performance targets for your assigned accounts
  • Develop, adapt, and implement business unit plans within key accounts, ensuring alignment with national strategic goals
  • Translate Unilever’s brand and category strategies into customer business plans, ensuring strong alignment with national and customer-specific objectives
  • Analyze market trends and customer insights to identify new growth opportunities and execute with agility
  • Serve as the primary business partner for key E-Commerce customers, building and maintaining strong, trust-based relationships
  • Act as a strategic advisor, understanding customers’ business needs and collaborating to co-create mutually beneficial solutions
  • Lead Joint Business Planning initiatives to achieve shared objectives and foster long-term partnership
  • Drive the implementation of the Omni Perfect Store framework, ensuring best-in-class execution both online and offline
  • Collaborate with e-commerce teams and brick-and-mortar partners to maximize shopper experience and sales conversion
  • Foster operational efficiencies by coordinating seamlessly with internal teams (e.g., Supply Chain, Finance, Marketing) and external stakeholders
  • Fulltime
Read More
Arrow Right