Manager, Managed Care

Jobtailor; Illinois; On-site; USD 110,000 - 170,000; Full time

Job summary

Jobtailor in the United States (Illinois) seeks an experienced healthcare consultant to lead managed care strategy engagements, including contract benchmarking and negotiation support. You will interpret claims data and market trends, translate complex concepts into actionable plans, and guide cross-functional teams toward high-impact client outcomes.

The role requires strong Excel and data-analysis skills, executive communication, and the ability to manage multiple clients and projects

Qualifications

• 5 to 7 years of experience in healthcare consulting or managed care required.
• Proven success leading managed care or reimbursement strategy projects, such as benchmarking, negotiation preparation, or contract modeling.
• Strong understanding of managed care models, provider reimbursement methodologies, and healthcare market dynamics.
• Advanced proficiency in Microsoft Excel and data analysis.
• Excellent writing, presentation, and storytelling skills.
• Experience managing multiple clients, projects, and cross-functional teams simultaneously.
• Experience with client-facing facilitation, including running meetings, presenting analyses, and conducting stakeholder interviews.
• Proficiency in analyzing data and metrics to inform strategy and measure impact.
• Entrepreneurial mindset with a drive to innovate and grow the managed care consulting practice.
• Bachelor’s degree required; advanced degree in health administration, business, or public policy preferred

Responsibilities

• Provide strategic insight on contract negotiation, payor mix, rate benchmarking, and network strategy.
• Interpret claims data and market trends to inform managed care strategies.
• Translate complex reimbursement concepts into clear, actionable strategies and communications.
• Identify risks and assess impacts of terminations or out-of-network situations.
• Lead client presentations and executive-level discussions.
• Develop junior team members and contribute to training and processes.
• Build and maintain client relationships and provide proactive counsel.
• Oversee vendor and partner relationships and cross-functional coordination.
• Review materials for clarity, tone, and regulatory alignment.
• Monitor healthcare industry trends and translate insights into actionable client strategies.

Skills

Healthcare data analysis

Excel

Project management

Client-facing communication

Presentation skills

Stakeholder interviews

Education

Bachelor’s degree in health administration, business, or public policy

Advanced degree preferred

Job description

• Provide strategic insight and recommendations on contract negotiation positioning, payor mix, rate benchmarking, operational efficiencies, and network strategy
• Interpret client claims data, revenue cycle metrics, price transparency data, and market trends to inform managed care strategies
• Translate complex reimbursement and contracting concepts into clear, actionable strategies and communications
• Identify and assess risks, scenarios, and potential impacts of contract terminations or out-of-network situations
• Support organizational change management initiatives, including governance, executive decision-making, risk mitigation, and cross-functional coordination
• Manage strategic consulting engagements and ensure high-quality deliverables across workstreams
• Develop and manage project timelines, milestones, and deliverables
• Build and maintain client relationships and provide proactive counsel
• Manage internal cross-functional analytics, creative, media, and communications teams
• Oversee vendor and partner relationships
• Lead client presentations and executive-level discussions
• Lead strategic communication plans for managed care negotiations, issues management, and stakeholder engagement
• Oversee message development, creative concepting, and asset production across paid, earned, owned, and internal channels
• Review materials for clarity, tone, and client and regulatory alignment
• Develop junior team members and contribute to training, workflows, processes, and methodologies
• Monitor healthcare industry trends and translate insights into actionable client strategies

Requirements

• 5 to 7 years of experience in healthcare consulting or managed care required
• Proven success leading managed care or reimbursement strategy projects, such as benchmarking, negotiation preparation, or contract modeling
• Strong understanding of managed care models, provider reimbursement methodologies, and healthcare market dynamics
• Advanced proficiency in Microsoft Excel and data analysis
• Excellent writing, presentation, and storytelling skills
• Experience managing multiple clients, projects, and cross-functional teams simultaneously
• Experience with client-facing facilitation, including running meetings, presenting analyses, and conducting stakeholder interviews
• Proficiency in analyzing data and metrics to inform strategy and measure impact
• Entrepreneurial mindset with a drive to innovate and grow the managed care consulting practice
• Bachelor’s degree required; advanced degree in health administration, business, or public policy preferred

Core Competencies

Demonstrates expertise in managed care strategy, including contract negotiation, reimbursement methodologies, and data analysis. Proven ability to lead cross-functional teams and manage client relationships while delivering high-quality consulting services.