Manager, Managed Care

Unlock Health; United States; Hybride; USD 110 000 - 170 000; Plein temps

Avantages offerts par ce poste

Health, Dental and Vision

Life, Short- and Long‑Term Disability

FSA / HSA Options

401(K) with generous match

Flexible Paid Time Off

Hybrid and Remote work schedules

Employee Assistance Program

Employee Referral Program

Résumé du poste

Unlock Health is seeking a strategic thinker to lead managed care consulting engagements for hospitals, health systems, and physician groups. You will translate data into actionable strategies, shape negotiation positioning, and drive cross‑functional delivery across analytics, communications, and partnerships.

The ideal candidate has 5–7 years in healthcare consulting, deep knowledge of managed care, and strong Excel, writing, and presentation skills.

Qualifications

• 5–7 years of experience in healthcare consulting or managed care.
• Proven success leading managed care or reimbursement strategy projects (benchmarking, negotiation prep, or contract modeling).
• Strong understanding of managed care models, provider reimbursement methodologies, and market dynamics.
• Advanced proficiency in Microsoft Excel with data analysis and translating findings into insights.
• Excellent writing, presentation, and storytelling skills to convey financial and strategic insights.
• Experience managing multiple clients, projects, and cross‑functional teams.
• Experience with client facilitation including meetings, analyses, and stakeholder interviews.
• Entrepreneurial mindset with drive to grow the managed care practice.
• Bachelor’s degree required; advanced degree preferred.

Responsabilités

• Provide strategic insight and recommendations on contract negotiation positioning and network strategy.
• Interpret client claims data, revenue cycle metrics, and market trends to inform strategies.
• Translate complex reimbursement concepts into clear actions and communications.
• Identify risks and impacts of contract terminations or out‑of‑network scenarios.
• Lead the creation of organizational change management initiatives and governance structures.
• Manage client engagements, timelines, and cross‑functional delivery teams.
• Lead client presentations and executive‑level discussions.
• Develop strategic communications plans supporting negotiations and stakeholder engagement.
• Collaborate with internal teams to ensure data‑informed, audience‑targeted materials.
• Mentor junior team members and foster professional growth.

Connaissances

Strategic thinking

Storytelling

Client management

Project management

Data interpretation

Healthcare industry knowledge

Business acumen

Formation

Bachelor’s degree

Advanced degree preferred (MHA/MBA)

Outils

Excel

PowerPoint

Description du poste

You’re a strategic thinker, trusted advisor, and collaborative partner who sees opportunity in complexity. You know how to turn challenging managed care issues into smart, actionable strategies that create meaningful results for hospitals, health systems, and physician groups.

Whether you’re uncovering insights in financial data, shaping a payor negotiation strategy, advising senior leaders, or crafting communications that build alignment and momentum, you understand that the strongest managed care strategies go beyond the numbers—combining insight, leverage, relationships, and compelling communication to drive meaningful results.

In this role, you’ll lead high-impact client engagements and help healthcare organizations navigate their most complex managed care challenges. Working at the intersection of strategy, analytics, relationships, and communication, you’ll lead complex initiatives, influence critical decisions, and see the tangible impact of your work.

What You’ll Do

Managed Care Consulting

• 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 for audiences (patients, employers, brokers, and providers).
• Identify and assess risks, scenarios, and potential impacts of contract terminations or out-of-network situations for clients.
• Support the creation and implementation of organizational change management initiatives, including governance structures, executive decision-making, risk mitigation, and cross-functional coordination.

Project Management

• Serve as manager for managed care clients, overseeing strategic consulting engagements and ensuring high-quality deliverables across all workstreams.
• Develop and manage project timelines, ensuring milestones and deliverables are met while maintaining alignment across client and internal teams.
• Build and maintain strong client relationships by understanding their business objectives, identifying opportunities for strategic growth, and providing proactive counsel.
• Manage internal cross-functional teams (analytics, creative, media, and communications) to ensure alignment and on‑time delivery.
• Oversee vendor and partner relationships (research firms, data vendors, call centers) to support client programs.
• Lead client presentations and facilitate executive‑level discussions.

Communications Development:

• Lead the creation of strategic communication plans supporting managed care negotiations, issues management, and stakeholder engagement.
• Oversee message development, creative concepting, and asset production across paid, earned, owned, and internal channels.
• Review and refine all materials for clarity, tone, and alignment with client and regulatory standards.
• Collaborate closely with internal creative and media teams to ensure communications are data‑informed and audience-targeted.

Team Development and Collaboration:

• Develop junior team members, providing feedback and professional growth opportunities.
• Collaborate across Unlock’s Managed Care, Strategic Communications, and Analytics teams to develop best practices and enhance integrated client delivery.
• Contribute to internal training, client workflows and processes and methodologies.

Market Insights:

• Stay ahead of healthcare industry trends, including reimbursement policy, payor performance, and regulatory changes impacting provider‑payor dynamics.
• Translate insights into actionable strategies for clients and contribute to Unlock Health’s managed care knowledge base.

Ideal Qualifications

• Equivalent of 5 to 7 years of experience in healthcare consulting or managed care is a must, ideally within a consulting environment or health system.
• 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, including experience with data analysis, and translating findings into actionable insights.
• Excellent writing, presentation, and storytelling skills — capable of translating financial and strategic insights into compelling communications.
• Demonstrated experience managing multiple clients, projects, and cross‑functional teams simultaneously.
• Experience with client‑facilitating 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.
• Health, Dental and Vision benefit packages to fit all types of lifestyles
• Life, Short- and Long‑Term Disability Insurance paid 100% by the company
• FSA / HSA Options
• 401(K) with a generous company match program
• Flexible Paid Time Off (aka- unlimited)
• Hybrid and Remote work schedules available
• Employee Assistance Program (unlimited free telephonic counseling for a variety of issues such as mental health, financial support, and legal advice)
• Employee Referral Program

About Us

Unlock Health is a full‑service marketing communication agency, grounded in technology, built for healthcare - and integrated with a managed care consultancy with deep revenue strategy expertise. We brought together leading healthcare firms to solve a core challenge: aligning brand, marketing, technology, and revenue strategy so healthcare organizations can attract and retain patients, grow brand equity, and protect their margins. We help our clients do everything from patient acquisition and brand building, to simplifying complex martech ecosystems, and creating digital experiences. Our work is rooted in clarity, authenticity, and a deep understanding of what moves healthcare forward.

Equality Opportunity Employer Statement

Unlock, and its affiliate companies, is an equal opportunity employer dedicated to building an inclusive and diverse workforce. We provide equal employment opportunities without regard to an applicant's race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.