Full Job Description
The Manager - Managed Care engages in implementing Mercy's managed care strategy as well as developing and managing relationships with health plans and other stakeholders, both internal and external. This includes coordination of commercial, Medicare Advantage, Medicaid Managed Care and other third-party managed care contracts and payer relation activities. The Manager, Managed Care will be responsible for ensuring communication to internal and external constituents, as appropriate, regarding programs, services and other relevant information. Duties and responsibilities are performed in a manner consistent with our mission, values, and Mercy Service Standards.
Position Details:
Candidate must reside in Arkansas (preferably the River Valley or Northwest Arkansas region.)
Education: Bachelor's degree in Healthcare Administration, Business Administration, or a related field.
Experience:
• Minimum of 3-5 years of experience in Managed Care required.
• Contracting experience preferred.
• Experience in healthcare finance or revenue cycle is a plus and may be considered trainable for the right candidate, even without a Managed Care or Provider Relations background.
Other:
• Demonstrates a high degree of independence, self-motivation, and strong organizational skills
• Possesses strong financial acumen, analytical ability, and efficiency
• Shows strong problem-solving skills and sound judgment
• Makes effective and timely decisions
• Communicates clearly with well-developed oral and written communication skills
• Understands health care delivery systems and the local/national health care environment
• Maintains strong industry relationships and understands hospital-physician dynamics
• Works well under pressure with minimal supervision
• Effectively manages multiple complex tasks simultaneously
• Completes projects on time and meets deadlines
• Learns quickly and gains a thorough understanding of Mercy services and market potential
• Upholds high ethical standards and earns the respect of others
From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
