Manager, Managed Care Contracting The Manager, Managed Care leads medical and pharmacy managed care contracting strategies and activities for assigned third-party payors, supporting Sentara Health ...
Manager, Managed Care Contracting The Manager, Managed Care leads medical and pharmacy managed care contracting strategies and activities for assigned third-party payors, supporting Sentara Health ...
Manager Managed Care Contracting
NJ · On-site
They will stay abreast of changes in healthcare reimbursement, regulatory requirements, and ... care contracting or revenue cycle. Well-developed computer skills required to effectively ...
Manager Managed Care Contracting
NJ · On-site
They will stay abreast of changes in healthcare reimbursement, regulatory requirements, and ... care contracting or revenue cycle. Well-developed computer skills required to effectively ...
Directs contracting strategy for hospitals, Healthplexes, hospital outpatient departments, Home Health and Rehab divisions. Develops payment models for facility managed care contracts. Oversees ...
Directs contracting strategy for hospitals, Healthplexes, hospital outpatient departments, Home Health and Rehab divisions. Develops payment models for facility managed care contracts. Oversees ...
Manager, Managed Care Contracting The Manager, Managed Care leads medical and pharmacy managed care contracting strategies and activities for assigned third-party payors, supporting Sentara Health ...
Manager, Managed Care Contracting The Manager, Managed Care leads medical and pharmacy managed care contracting strategies and activities for assigned third-party payors, supporting Sentara Health ...
Managed Care Contracting Coordinator- Onsite 77092
Houston, TX · On-site
$18 - $20/hr
In lieu of a degree, 1-2 years of experience in a healthcare administrative role will be considered * Prior experience with managed care, payer enrollment, or healthcare contracting a plus but not ...
Managed Care Contracting Coordinator- Onsite 77092
Houston, TX · On-site
$18 - $20/hr
In lieu of a degree, 1-2 years of experience in a healthcare administrative role will be considered * Prior experience with managed care, payer enrollment, or healthcare contracting a plus but not ...
JOB SUMMARY The Managed Care Resource will support our Home Health, Hospice, Private Duty and Senior Living Facility leaders in managed care contracting and revenue enhancement strategies for all ...
JOB SUMMARY The Managed Care Resource will support our Home Health, Hospice, Private Duty and Senior Living Facility leaders in managed care contracting and revenue enhancement strategies for all ...
Manager, Managed Care Contracting & Operations
Fairfield, CA · On-site
$130K - $150K/yr
At NorthBay Health The Manager, Managed Care Services possesses both operational management and negotiating skills. The leader is responsible for payor strategy, contracting, reimbursement and ...
Manager, Managed Care Contracting & Operations
Fairfield, CA · On-site
$130K - $150K/yr
At NorthBay Health The Manager, Managed Care Services possesses both operational management and negotiating skills. The leader is responsible for payor strategy, contracting, reimbursement and ...
... abuse, healthcare contracting, HIPAA or telemedicine. Strong legal writing, contract drafting, and oral communication skills are essential to this role, as is the ability to work well in a team ...
Quick apply
... abuse, healthcare contracting, HIPAA or telemedicine. Strong legal writing, contract drafting, and oral communication skills are essential to this role, as is the ability to work well in a team ...
Contract Manager, Managed Care Contracting
Worcester, MA · On-site
$88K - $118K/yr
Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their ... direct managed care-contracting experience, with emphasis on analyzing and negotiating risk ...
Contract Manager, Managed Care Contracting
Worcester, MA · On-site
$88K - $118K/yr
Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their ... direct managed care-contracting experience, with emphasis on analyzing and negotiating risk ...
... contracting strategies, perform complex contract modeling, and to monitor health plan performance. Acts as a liaison between Managed Care Contracting, Reimbursement, Patient Financial Services ...
... contracting strategies, perform complex contract modeling, and to monitor health plan performance. Acts as a liaison between Managed Care Contracting, Reimbursement, Patient Financial Services ...
Director, Payor Contracting
Phoenix, AZ · On-site +1
EDUCATION • Bachelor's Degree in Business, Finance or Healthcare Administration required. EXPERIENCE • Proven working knowledge of provider financial issues, complex contracting options ...
Director, Payor Contracting
Phoenix, AZ · On-site +1
EDUCATION • Bachelor's Degree in Business, Finance or Healthcare Administration required. EXPERIENCE • Proven working knowledge of provider financial issues, complex contracting options ...
... Healthcare or Business related. Industry experience will be considered in lieu of a bachelor's degree. MBA or MHA preferred. * 3+ years Managed Care contracting and negotiating experience involving ...
... Healthcare or Business related. Industry experience will be considered in lieu of a bachelor's degree. MBA or MHA preferred. * 3+ years Managed Care contracting and negotiating experience involving ...
Fully virtual healthcare contracting, provider enrollment, credentialing, and client services environment Compensation: $110,000 annual base salary Bonus Offered: Annual performance and profit ...
Fully virtual healthcare contracting, provider enrollment, credentialing, and client services environment Compensation: $110,000 annual base salary Bonus Offered: Annual performance and profit ...
... Healthcare or Business related. Industry experience will be considered in lieu of a bachelor's degree.MBA or MHA preferred. * 3+ years Managed Care contracting and negotiating experience involving ...
... Healthcare or Business related. Industry experience will be considered in lieu of a bachelor's degree.MBA or MHA preferred. * 3+ years Managed Care contracting and negotiating experience involving ...
At NorthBay Health The Manager, Managed Care Services possesses both operational management and negotiating skills. The leader is responsible for payor strategy, contracting, reimbursement and ...
At NorthBay Health The Manager, Managed Care Services possesses both operational management and negotiating skills. The leader is responsible for payor strategy, contracting, reimbursement and ...
Director, Managed Care
Fremont, CA · On-site
$196K - $294K/yr
Description Salary Range: $196,000.00 - $294,000.00 Washington Hospital Healthcare System Job Code: 714 The Director, Managed Care Contracting, contributes to WHHS' growth Job Title: Director ...
Director, Managed Care
Fremont, CA · On-site
$196K - $294K/yr
Description Salary Range: $196,000.00 - $294,000.00 Washington Hospital Healthcare System Job Code: 714 The Director, Managed Care Contracting, contributes to WHHS' growth Job Title: Director ...
Director, Managed Care
$196K - $294K/yr
Salary Range: $196,000.00 - $294,000.00 Washington Hospital Healthcare System Job Code: 714 The Director, Managed Care Contracting, contributes to WHHS' growth Job Title: Director, Managed Care ...
Director, Managed Care
$196K - $294K/yr
Salary Range: $196,000.00 - $294,000.00 Washington Hospital Healthcare System Job Code: 714 The Director, Managed Care Contracting, contributes to WHHS' growth Job Title: Director, Managed Care ...
Manager, Managed Care Contracting & Operations
Fairfield, CA · On-site
$130K - $150K/yr
At NorthBay Health The Manager, Managed Care Services possesses both operational management and negotiating skills. The leader is responsible for payor strategy, contracting, reimbursement and ...
Manager, Managed Care Contracting & Operations
Fairfield, CA · On-site
$130K - $150K/yr
At NorthBay Health The Manager, Managed Care Services possesses both operational management and negotiating skills. The leader is responsible for payor strategy, contracting, reimbursement and ...
Contract Manager, Managed Care Contracting
$88K - $118K/yr
Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their ... direct managed care-contracting experience, with emphasis on analyzing and negotiating risk ...
Contract Manager, Managed Care Contracting
$88K - $118K/yr
Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their ... direct managed care-contracting experience, with emphasis on analyzing and negotiating risk ...
Manager-Provider Contracts
Memphis, TN · On-site
$86K - $115K/yr
In-depth understanding of health care and managed care contracting concepts, reimbursement, methodologies, and health benefit plan designs. Perceptive of general market conditions and the managed ...
Manager-Provider Contracts
Memphis, TN · On-site
$86K - $115K/yr
In-depth understanding of health care and managed care contracting concepts, reimbursement, methodologies, and health benefit plan designs. Perceptive of general market conditions and the managed ...
Weekend Healthcare Contracting information
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8% of jobs
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11% of jobs
$17
$41
$79
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Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted yesterday
Sentara Health rating
6.8
Based on 383 frontline employees who took The Breakroom Quiz
485th of 870 rated healthcare providers
Job description
Virginia Beach, VA
Work Shift
First (Days)
Overview:
Manager, Managed Care Contracting
The Manager, Managed Care leads medical and pharmacy managed care contracting strategies and activities for assigned third-party payors, supporting Sentara Healthcare provider divisions. This role partners with clinical, pharmacy, and managed care leadership to optimize reimbursement, ensure contract performance, and align financial and operational objectives. The Manager, Managed Care serves as the primary liaison for a portfolio of payor relationships, overseeing contract implementation, issue resolution, and ongoing performance. This role supports data analysis and facilitates coordination of day-to-day managed care operations, including patient access, claims adjudication, and care management.
Hybrid position at 1300 Sentara Park, Virginia Beach, Virginia --two days remote and three days on site at Sentara Park.
There is an opportunity for Richmond (Virginia) residents to work same schedule at Sentara Health Plan in Richmond. Required to work each Wednesday at Sentara Park, Virginia Beach.
Education
- Bachelor's degree (Required)
Experience
- 3 years of experience in managed care contracting (Required)
- 3 years of experience in healthcare (Required)
We are seeking demonstrated experience in pharmacy managed care, including:
- Understanding of pharmacy benefit management (PBM) structures and reimbursement models (e.g., AWP, MAC, NADAC)
- Experience negotiating pharmacy reimbursement terms and specialty pharmacy agreements
- Knowledge of formulary management, utilization management, and drug pricing strategies
Strong financial acumen with experience in contract modeling and reimbursement analysis
Knowledge of healthcare regulations, payor requirements, and value-based care arrangements preferred
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
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About Sentara Health
Sourced by ZipRecruiter
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Norfolk, VA, US
Year founded
1888