Managed Care Supervisor
Managed Care Supervisor supervises the team responsible for reviewing and negotiating managed care contracts. Coordinates utilization reviews and evaluates financial impacts to support contract negotiations and maintain care quality. Being a Managed Care Supervisor identifies patterns in service use and recommends strategies to improve efficiency and reduce expenses. Tracks financial outcomes, stays current on policy updates, manages contract records, and prepares reporting. Additionally, Managed Care Supervisor ensures that patient care delivered to members meets quality standards and complies with applicable regulations. Requires a bachelor's degree. Typically reports to a manager. The Managed Care Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/production environments. Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. To be a Managed Care Supervisor typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes.
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