Managed Care Executive

Vance Airscoop; Columbus (OH); On-site; USD 80,000 - 120,000; Full time

Job summary

Strategic Health Care Managed Care Solutions is seeking a Manager, Managed Care Contracting in the United States to lead contracting and negotiation efforts. The role focuses on supporting client engagements, performing financial analyses, and managing payer relationships within a collaborative consulting environment.

The position requires strong analytical, organizational, and communication skills, with experience in managed care contracting and healthcare analytics.

Qualifications

• Bachelor's degree preferred; equivalent combination of education and relevant experience will be considered.
• Minimum of five (5) years of progressive experience in healthcare managed care, payer contracting, data analytics, healthcare consulting, or related healthcare administration roles.

Responsibilities

• Client engagement and project management.
• Managed care contracting and financial analysis.
• Payer relations and market intelligence.
• Strategic consulting and negotiations.
• Documentation and communication.
• Business development.
• Additional responsibilities.

Skills

Client engagement

Payer contracting

Data analytics

Negotiations

Communication

Project management

Education

Bachelor's degree preferred

Tools

Microsoft 365

Job description

Manager, Managed Care Contracting

Salary: 80k to 120k

Organization: Strategic Health Care Managed Care Solutions

Position Title: Managed Care Executive

Reports To: Partner, Managed Care Division

Position Summary

Strategic Health Care (SHC) is a highly respected healthcare consulting firm specializing in managed care contracting, payer relations, and network development. Recognized as an industry leader, SHC helps healthcare organizations navigate complex managed care environments and achieve favorable contracting outcomes. The Managed Care Executive plays a key role in supporting client engagement, contract negotiations, payer relationship management, and strategic consulting initiatives. This position requires a highly motivated professional with strong analytical, organizational, and communication skills who thrives in a collaborative, client-focused environment.

Key Responsibilities

• Client Engagement & Project Management
• Managed Care Contracting & Financial Analysis
• Payer Relations & Market Intelligence
• Strategic Consulting & Negotiations
• Documentation & Communication
• Business Development
• Additional Responsibilities

Qualifications

Education & Experience

• Bachelor's degree preferred; equivalent combination of education and relevant experience will be considered.
• Minimum of five (5) years of progressive experience in healthcare managed care, payer contracting, data analytics, healthcare consulting, or related healthcare administration roles.

Knowledge & Technical Expertise

• Strong understanding of commercial and government-sponsored health insurance programs.
• Knowledge of healthcare reimbursement methodologies, including:
• Resource-Based Relative Value Scale (RBRVS)
• Case Rates
• Grouper Methodologies
• Diagnosis-Related Groups (DRGs)
• Carve-Out Arrangements
• Outlier Payments
• Experience reviewing, analyzing, and negotiating managed care contracts.
• Proficiency with Microsoft 365 applications, including Outlook, Excel, Word, PowerPoint, and Planner.