Value‑Based Managed Care Contracts Manager

BJC HealthCare; Missouri; On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Comprehensive medical insurance

401(k) with match

Tuition Assistance

Paid Time Off

Adoption assistance

Job summary

BJC HealthCare in Missouri seeks a Manager of Managed Care Contracting to oversee value-based contracting and negotiate with insurance providers. The role involves collaborating with leadership to develop strong relationships with Managed Care Organizations and ensuring compliance with contractual obligations.

The ideal candidate has at least 5 years of experience in managed care contracting and a Bachelor's Degree. Comprehensive medical and retirement benefits are provided.

Qualifications

• 5-10 years of experience in managed care contracting or related field.
• 2-5 years supervisory experience is required.
• Strong understanding of coding and documentation practices.

Responsibilities

• Manage and lead contract negotiations with Managed Care Organizations (MCOs).
• Facilitate problem solving of contractual issues.
• Ensure compliance with payer-specific requirements.

Skills

Negotiation skills

Leadership

Contract analysis

Communication

Healthcare industry knowledge

Education

Bachelor's Degree

Master's Degree

Job description

BJC HealthCare in Missouri seeks a Manager of Managed Care Contracting to oversee value-based contracting and negotiate with insurance providers. The role involves collaborating with leadership to develop strong relationships with Managed Care Organizations and ensuring compliance with contractual obligations.

The ideal candidate has at least 5 years of experience in managed care contracting and a Bachelor's Degree. Comprehensive medical and retirement benefits are provided.