Manager, Managed Care

• 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 work streams
• 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

• 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

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.