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Managed Care Contract Manager Jobs in Decatur, GA

Ensign Services

Managed Care Resource

Atlanta, GA

Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation ... Actively draft and negotiate contracts in the health care operations and health care plan ...

Acuity, Inc.

Contract Manager

Atlanta, GA · On-site

$85K - $114K/yr

Working alongside transactional attorneys, the Contract Manager is responsible for negotiating, drafting, and reviewing a variety of global commercial and sourcing contracts, providing advice on ...

Acuity Brands

Contract Manager

Atlanta, GA

$85K - $114K/yr

Working alongside transactional attorneys, the Contract Manager is responsible for negotiating, drafting, and reviewing a variety of global commercial and sourcing contracts, providing advice on ...

Acuity Brands, Inc.

Contract Manager

Atlanta, GA · On-site

$85K - $114K/yr

Working alongside transactional attorneys, the Contract Manager is responsible for negotiating, drafting, and reviewing a variety of global commercial and sourcing contracts, providing advice on ...

Kiongroup

Contract Manager

Atlanta, GA

$84K - $124K/yr

Dematic has an immediate need for a Contract Manager to support the continual growth of Dematic's North American project business. This position is responsible for partnering closely with the project ...

Kiongroup

Contract Manager

Atlanta, GA

$84K - $124K/yr

Dematic has an immediate need for a Contract Manager to support the continual growth of Dematic's North American project business. This position is responsible for partnering closely with the project ...

HeadFirst BV

Contract Manager

Atlanta, GA · On-site +1

$85K/yr

Impellam Group Contract Manager Impellam Group is seeking a Contract Manager who will be ... managed in a vendor management system, provide proper notification to ensure accurate set-up • ...

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All JobsManaged Care Contract JobsManaged Care Contract Manager JobsManaged Care Contract Manager Jobs in Decatur, GA

Managed Care Contract Manager information

See Decatur, GA salary details

$58.6K

$86.6K

$121.1K

How much do managed care contract manager jobs pay per year?

As of Aug 9, 2026, the average yearly pay for managed care contract manager in Decatur, GA is $86,649.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,800.00 and $101,000.00 per year, depending on experience, location, and employer.

What are some typical challenges a managed care contract manager faces when negotiating agreements with payers?

Managed Care Contract Managers often encounter challenges such as balancing competitive reimbursement rates with organizational financial goals, navigating complex regulatory requirements, and keeping up-to-date with evolving payer policies. Effective negotiation requires strong analytical skills to assess contract terms, as well as the ability to build collaborative relationships with both payers and internal stakeholders. Additionally, handling multiple contracts simultaneously and adapting to changing healthcare landscapes can be demanding but also provide valuable experience and growth opportunities.

What is a managed care contract manager?

A Managed Care Contract Manager is a professional responsible for negotiating, implementing, and managing contracts between healthcare providers and insurance companies or managed care organizations. They ensure that contracts meet regulatory requirements, contain favorable terms for their organization, and are financially viable. Their role involves analyzing reimbursement rates, monitoring contract performance, and serving as a liaison between healthcare providers and payers. They play a critical part in maximizing revenue, minimizing risk, and ensuring compliance in healthcare organizations.

What is the difference between Managed Care Contract Manager vs Managed Care Analyst?

AspectManaged Care Contract ManagerManaged Care Analyst
CredentialsBachelor's degree, industry certifications often preferredBachelor's degree, health administration or related field
Work EnvironmentHealthcare organizations, insurance companiesHealthcare providers, insurance firms, consulting
Primary FocusNegotiating and managing contracts with providers and payersAnalyzing data to improve care and cost efficiency
Common TasksContract negotiations, compliance monitoringData analysis, reporting, trend identification

While both roles operate within the managed care industry, the Managed Care Contract Manager primarily focuses on negotiating and managing provider contracts, ensuring compliance, and maintaining relationships. In contrast, the Managed Care Analyst concentrates on analyzing healthcare data to optimize costs and quality. Both roles require similar educational backgrounds and industry knowledge but serve different functions within healthcare organizations.

What are the key skills and qualifications needed to thrive as a managed care contract manager?

To thrive as a Managed Care Contract Manager, you need expertise in contract negotiation, healthcare reimbursement methodologies, and a strong understanding of regulatory compliance, typically supported by a bachelor's degree in healthcare administration, business, or a related field. Familiarity with contract management software, claims processing systems, and proficiency in Microsoft Excel are commonly required. Exceptional analytical thinking, attention to detail, and effective communication skills help professionals excel in negotiations and relationship management. These skills ensure successful contract execution, optimized reimbursement, and compliance with industry standards, which are critical for organizational success.
What are popular job titles related to Managed Care Contract Manager jobs in Decatur, GA? For Managed Care Contract Manager jobs in Decatur, GA, the most frequently searched job titles are:
What job categories do people searching Managed Care Contract Manager jobs in Decatur, GA look for? The top searched job categories for Managed Care Contract Manager jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Managed Care Contract Manager jobs? Cities near Decatur, GA with the most Managed Care Contract Manager job openings:
Managed Care Contract Manager jobs near you

Managed Care Resource

Ensign Services, Inc.

Atlanta, GA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago

Ensign Group rating

6.5

Company rating: 6.5 out of 10

Based on 168 frontline employees who took The Breakroom Quiz

605th of 887 rated healthcare providers

Job description

Managed Care Resource - Southeast Region
Position Type: Full-time, exempt employee.
Compensation Range: Depending on Experience.
Location: Candidate must reside in the Atlanta, Georgia area.
About the Company:
Ensign Services, Inc. ("ESI") is a subsidiary of The Ensign Group, Inc. whose affiliated entities are considered national leaders in the fast-growing post-acute care industry. ESI provides service and support to over 378 facilities in the long-term care continuum that employ over 55,000 employees.
ESI is known as the "Service Center" and provides the facilities and leaders it serves with "back-office" support in areas such as accounting, construction, compliance, human resources, information technology, learning and development, legal and risk management and recruiting. This structure allows the onsite leaders and caregivers to focus on day-to-day care and operational issues in their individual operations. What sets ESI apart from other companies is the quality of our most valuable resource - our people.
We take our core values of Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership ("CAPLICO") seriously. We want an individual in this role who will demonstrate these values through actions and words.
About the Opportunity:
The Managed Care Consultant supports the Skilled Nursing Facility leaders in managed care contracting and revenue enhancement strategies for all healthcare payers and preparation for changes in the healthcare industry. The Consultant will provide guidance regarding development of managed care relationships and rate negotiation, ensuring timeliness and rate appropriateness. Additionally, the Consultant will negotiate contracts for new locations, assist with ensuring that contracts are updated for new services and help with contract cancellations, denials and appeals.
Job Duties and Responsibilities include, but are not limited to:
  • Establish, implement and evaluate the strategic plan(s) that will ensure each local operation the ability to optimize financial performance through rates and increased census.
  • Engage in complex levels of contract development and negotiation, including risk agreements using utilization, claims and market data with health plans and direct service agreements with physicians, physician organizations and hospitals and ancillary providers.
  • Identify, develop and maintain an effective relationship with contracted health plans and managed care regulatory agencies.
  • Manage complex and high-profile health plan negotiations. Actively draft and negotiate contracts in the health care operations and health care plan functional areas.
  • Assist in analysis and coordination of amendments, reimbursement, and language changes.
  • Assess resource utilization, cost management and negotiate effectively.
  • Monitor industry changes, trends and events to proactively identify opportunities to increase market penetration and performance improvement.
  • Understands the competitive pricing levels in the local market and improves the company's cost position through unit costs strategies.
  • Strategizes for facility census growth and retention.
  • Teach, Train and Instruct facility level personnel on how to operationalize the contract.
  • Interact with facility personnel on utilization, clinical results and managed care census.

Preferred Qualifications:
  • A bachelor's degree in business administration, management or health care administration, highly desired.
  • At least 2 years of experience with Managed Care contracting, highly desired.
  • Must reside in Georgia, preferably in the Atlanta area.
  • Willing to travel up to 80% of the time (as deemed appropriate).
  • Knowledge of managed care contracting language, requirements, and methods to support the development and maintenance of contract compliance, contract language review and contract analysis.
  • Must be knowledgeable about the managed care environment, including capitation, PPO, HMO, IPA, ACO and POS.
  • Knowledge of CPT-4, HCPCS, Revenue and ICD coding.
  • Expert in Skilled Nursing Managed care plans.
  • Experience in successful operationalizing managed care contracts in the skilled nursing environment.
  • Knowledge of contracts and contractual interpretations for payment and benefit issues.
  • Working knowledge of medical terminology, claims payment, contract negotiations, and problem resolution; ability to work collaboratively in a team setting.
  • Communicate effectively at all organizational levels and in situations requiring instructing, persuading, negotiating, consulting, and advising.
  • Ability to deal with responsibility with confidential matters. Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
  • Strong analytical mind, with problem solving skills, an aptitude for accuracy, and attention to detail.
  • Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously.
  • Excellent verbal and written communication skills, as well as excellent critical thinking skills.
  • Computer savvy (Contract Logix, MS Word, MS Outlook & Excel).
  • Ability to be flexible, be readily adaptable, and work in a rapidly and constantly changing environment.
  • Present in facilities on a weekly basis, (currently as deemed appropriate).

Additional Information:
  • Pre-employment criminal background screening required.

What We Offer:
We are committed to providing a competitive benefits and compensation package which includes medical/dental/vision coverage, company-provided life insurance, 401(k) with company match, and sick/vacation plans. We also believe in supporting our employee's professional growth and development through our Learning Management System as well as training sessions and seminars. Take a look at these benefits (and more!) at www.ensignbenefits.com.
Ensign Services, Inc. is an equal opportunity employer. If you need assistance or accommodation during the application process, please contact us at 888-659-3616.
Job ID: 1230

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