Manager, Managed Care Services

At NorthBay Health the Manager of Managed Care Services possesses both operational management and negotiating skills. She or he is responsible for communicating potential threats to NorthBay resulting from changes in the insurance industry, while also being responsible for contract negotiations and the operations associated with claims processing.

Under oversight by the AVP, this person negotiates for NorthBay with healthcare insurance companies and oversees the implementation, monitoring, and evaluation of hospital, physician, and ancillary managed care payor contractual arrangements with the potential to increase or retain market share. The Manager also oversees the negotiation, implementation, and ongoing monitoring of subcontracts for the system's capitated business and for the hospice program.

This position is responsible for overseeing staff education on managed care topics and contract implementation and monitoring.

Job Overview

At NorthBay Health, our vision is to be the trusted healthcare partner of choice for the communities we serve. We are dedicated to improving the well-being of our community by providing accessible, high-quality care to all who need it.

Qualifications

• Bachelor's degree required.
• Minimum 3 years of experience required in healthcare reimbursement mechanisms and contract negotiations.
• Prior experience in a managed care organization or department required.

Skills

Interpersonal Skills

Compensation

NorthBay Health is an equal opportunity employer and welcomes applications from diverse candidates.

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