Managed Care Contracting Manager

Johns Hopkins Medicine; Saint Petersburg (FL); On-site; USD 51,797 - 85,521; Full time

Benefits offered by this job

Career growth and development

Employee and Dependent Tuition Assistance

Diverse working environment

Comprehensive benefits package

Job summary

Johns Hopkins Medicine is hiring a Managed Care Contracting Manager in Saint Petersburg, Florida. This role involves managing the execution and administration of managed care agreements, supporting contract negotiations, and analyzing contract performance to support the organization's financial goals.

The ideal candidate will have a Bachelor's degree in business or healthcare administration and at least 7 years of relevant experience. The position offers a competitive salary range of $37.60 to $62.08 per hour.

Qualifications

• Bachelor's Degree required; Master's preferred.
• 7+ years of experience in managed care contracting required.
• Relevant education may be substituted for work experience.

Responsibilities

• Manage execution and administration of managed care agreements.
• Support contract negotiations with major third-party payers.
• Analyze contract performance and support financial goals.
• Address contract-related queries from stakeholders.
• Manage contractual disputes with third-party payers.

Skills

Managed care contracting

Contract negotiation

Analytical skills

Collaboration

Process improvement

Education

Bachelor's Degree in business administration or healthcare administration

Master's Degree in business administration or healthcare administration

Job description

What Awaits You?

• Career growth and development
• Employee and Dependent Tuition Assistance
• Diverse and collaborative working environment
• Affordable and comprehensive benefits package

The Johns Hopkins Health System Corporation is a not-for-profit organization dedicated to providing the highest quality of care in the treatment and prevention of human illness. JHHS is an academically based health system consisting of: The Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, Johns Hopkins Howard County Medical Center, Suburban Hospital, Sibley Memorial Hospital, The Johns Hopkins All Children’s Health System, Johns Hopkins Community Physicians, The Johns Hopkins Medical Services Corporation and Johns Hopkins Medical Management Corporation.

The Managed Care Contracting Manager manages the execution, and administration of managed care agreements. Supports contract negotiations with our major third-party payers and is responsible for negotiation of managed care agreements with minor third party payers. Analyzes contract performance and collaborates with stakeholders to support the financial and operational goals of the organization. Responsible for addressing contract-related queries, from internal and external stakeholders, and facilitate process improvements. Manages contractual disputes that arise with third party payers under managed care agreement terms. Responsible for carrying out obligations under managed care agreements such as charge master notices, requests for fee schedules and other obligations as applicable.

Education and Experience

• ​Bachelor's Degree in business administration, healthcare administration, or a related field – Required
• Master's Degree in business administration, healthcare administration, or a related field – preferred
• One year of relevant education may be substituted for one year of required work experience or one year of relevant professional-level work experience may be substituted for one year of required education.
• 7+ years of experience in managed care contracting or a related field – required

Salary Range

Minimum 37.60/hour - Maximum 62.08/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

The Hospital reserves the right to modify employee schedules as needed.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.