Managed Care Manager
Managed Care Manager manages daily operations of the managed care team, ensuring thorough utilization reviews and financial analyses that inform contract negotiations and support care quality. Monitors service-use patterns, implements efficient strategies, and drives cost-reduction initiatives. Being a Managed Care Manager oversees performance reporting to maintain compliance with regulations and internal standards. Requires a bachelor's degree. Additionally, Managed Care Manager typically reports to a director. The Managed Care 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. To be a Managed Care 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.
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