Sample Job Description for Managed Care Contracting Manager
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Managed Care Contracting Manager Job Overview
Managed Care Contracting Manager Job Description Sample
Manages daily operations of the managed care team, ensuring thorough utilization reviews and financial analyses that inform contract negotiations and support care quality.
JOB LEVEL
M02
EDUCATION/DEGREE
Bachelor's Degree
REPORTS TO
Director
Salary Range
BASE 50%
$118,130
TOTAL 50%
$120,350
Job Responsibilities for Managed Care Contracting Manager
Monitors service-use patterns, implements efficient strategies, and drives cost-reduction initiatives. Oversees performance reporting to maintain compliance with regulations and internal standards.
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View Job Description Templates of Similar Jobs
| Job Title | Job Description | |
|---|---|---|
| 1 | Senior Vice President - Managed Care Contracting | The Senior Vice President - Managed Care Contracting ensures that patient care delivered to members meets quality standards and complies with applicable regulations. Plans and directs all aspects of an organization's managed care function, including the negotiation and administration of managed care contracts. Being a Senior Vice President - Managed Care Contracting requires a bachelor's degree. Reviews the performance of payer contracts to determine strategies for improving operational performance and optimizing revenue streams. In addition, Senior Vice President - Managed Care Contracting typically reports to top management. The Senior Vice President - Managed Care Contracting manages a business unit, division, or corporate function with major organizational impact. Establishes/implements overall direction and strategic initiatives for the given major function or line of business. Working as a Senior Vice President - Managed Care Contracting typically requires 10+ years of progressive leadership experience. Has extensive knowledge of the overall departmental function. |
| 2 | Big Data Analytics Manager | The Big Data Analytics Manager oversees the interpretation of results from multiple sources using a variety of techniques, ranging from simple data aggregation via statistical analysis to complex data mining. Manages the daily activities of the team responsible for identifying business trends and problems through big data analysis. Being a Big Data Analytics Manager may require extensive knowledge of big data tools like Hadoop, Hbase, Hive, Zookeeper, etc. Requires a bachelor's degree in related area. Manages the design and implementation of big data solutions for the organization. In addition, Big Data Analytics Manager typically reports to senior management. The Big Data Analytics Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Working as a Big Data Analytics Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. |
| 3 | Managed Care Contracting Director | The Managed Care Contracting Director ensures that patient care delivered to members meets quality standards and complies with applicable regulations. Directs and oversees all policies and procedures for the negotiation and administration of managed care contracts. Being a Managed Care Contracting Director requires a bachelor's degree. Manages relationships with payers and monitors the performance of payer contracts to propose strategies for improving operational performance and optimizing revenue streams. In addition, Managed Care Contracting Director typically reports to senior management. The Managed Care Contracting Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Working as a Managed Care Contracting Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. |
| 4 | Agile Scrum Program Manager | The Agile Scrum Program Manager ensures projects are sufficiently resourced for the defined scope of work and are delivered on schedule and within budget. Manages and coaches a team of Scrum Masters that support self-managed teams in the completion of Scrum projects. Being an Agile Scrum Program Manager monitors project milestones and takes proactive steps to mitigate risk. Oversees multiple projects and coordinates across other Agile teams for complex projects. In addition, Agile Scrum Program Manager guides Scrum Masters in the implementation of quality standards and recommends changes to improve the Agile process. Requires a bachelor's degree. Typically requires Certified Scrum Master (CSM). Typically reports to a director or head of a unit or department. The Agile Scrum Program Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Working as an Agile Scrum Program Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. |
| 5 | Managed Care Contracting Analyst | The Managed Care Contracting Analyst identifies patterns in service use and recommends strategies to improve efficiency and reduce expenses. Coordinates utilization reviews and evaluates financial impacts to support managed care contract negotiations and maintain care quality. Being a Managed Care Contracting Analyst typically requires a bachelor's degree. Tracks financial outcomes, stays current on policy updates, manages contract records, and prepares reporting. In addition, Managed Care Contracting Analyst typically reports to a manager. Being a Managed Care Contracting Analyst occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. Working as a Managed Care Contracting Analyst typically requires 2-4 years of related experience. |
Managed Care Contracting Manager Skills & Proficiency Level
| Skills | Proficiency Level |
|---|---|
| Budgeting | Level 3 |
| Planning and Organizing | Level 5 |
| Monitoring Progress | Level 4 |
