Talent.com
Manager, Managed Care
Manager, Managed CareUnlock Health • Richmond, VA, US
Manager, Managed Care

Manager, Managed Care

Unlock Health • Richmond, VA, US
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Manager, Managed Care

Unlock Health breaks down the walls that healthcare providers have lived with for decades. We connect the dots across managed care and marketing so that providers can realize their missions and patients can get the right care. We've brought together the top healthcare marketing organizations to make this vision a reality, with a team of experts in managed care, technology, and ROI design.

Unlock Health is seeking a strategic and collaborative Manager, Managed Care Consulting to lead client engagements focused on managed care strategy, payor negotiations, and healthcare revenue optimization. This role requires a balance of consulting capabilities, client management, and communications expertise to drive measurable results for hospitals, health systems, and physician groups navigating complex payor environments. As a Manager, you will lead projects developing and executing managed care strategies including financial benchmarking, negotiation strategy, strategic communications, and stakeholder engagements that strengthen client positions. 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.
  • Partner with analytics teams to interpret client data, 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.

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-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.
  • Perks and Benefits

  • Competitive Salary
  • 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)
  • Paid Parental Leave
  • 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 Unlock : Unlock Health redefines what a marketing and advertising agency can do in healthcare by breaking down walls that have existed for decades. We've combined the best teams in healthcare marketing to help every client live their mission to promote, maintain, and restore health. Our "super agency" approach connects creative, content, and strategy to remove the guesswork from growth, measured by ROI technology. By bringing together the top talent in the industry, we are reshaping the future of healthcare marketing.

    We believe our business can only grow by including our Vision and Values in everything we do. Our hiring process is no different. We interview and hire based on our values.

    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.

    serp_jobs.job_alerts.create_a_job

    Manager Managed Care • Richmond, VA, US

    Job_description.internal_linking.related_jobs
    Travel Nurse RN - Home Health

    Travel Nurse RN - Home Health

    Healthcare Support • Richmond, VA, US
    serp_jobs.job_card.permanent
    Healthcare Support is seeking a travel nurse RN Home Health for a travel nursing job in Richmond, Virginia.Job Description & Requirements. Healthcare Support Job ID #473956.Pay package is based ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Registered Nurse (RN) Care Manager Southside Regional Medical Center

    Registered Nurse (RN) Care Manager Southside Regional Medical Center

    Bon Secours Mercy Health • Petersburg, Virginia, USA
    serp_jobs.job_card.full_time
    Thank you for considering a career at Mercy Health!.Days / Afternoons (United States of America).As a faith-based and patient-focused organization Bon Secours exists to enhance the health and well-be...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Home Health Nurse

    Home Health Nurse

    A-Line Staffing Solutions LLC • Colonial Heights, VA, US
    serp_jobs.job_card.full_time
    A-Line Staffing is seeking a motivated and detail-oriented.This role offers career growth, a supportive work environment, and full-time hours (40+ per week). APPLY NOW for IMMEDIATE consideration.RN...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Travel Nurse RN - PCU - Progressive Care Unit

    Travel Nurse RN - PCU - Progressive Care Unit

    ALOIS Healthcare • Richmond, VA, US
    serp_jobs.job_card.full_time
    ALOIS Healthcare is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Richmond, Virginia. Job Description & Requirements.Much of the work they do centers on asses...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Intensive Community Manager, Complex Care (RN)

    Intensive Community Manager, Complex Care (RN)

    ChenMed • Forest Hill, VA, US
    serp_jobs.job_card.full_time
    We’re changing lives every day.For both our patients and our team members.Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with y...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Care Manager

    Care Manager

    TEKsystems • Richmond, Virginia, United States
    serp_jobs.job_card.temporary
    Schedule : •M-F, shifts range 8am-8pm EST, must have full availability in this timeframe.Anticipated Start Date : •1 / 12 / 2025. Care Manager responsibilities will vary by program and its lifecycle.Care ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Care Manager, Registered Nurse (Remote)

    Care Manager, Registered Nurse (Remote)

    Sharecare • Richmond, VA, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driv...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Progressive Care Unit - $1,872 per week in Hopewell, VA

    Travel Nurse RN - Progressive Care Unit - $1,872 per week in Hopewell, VA

    TravelNurseSource • Hopewell, VA, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with GQR Healthcare to find a qualified PCU RN in Hopewell, Virginia, 23860!.Specialty : Progressive Care Unit. Estimated weekly pay includes projected hourly wages and w...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Regional Director of Resident Care

    Regional Director of Resident Care

    Pivotal Placement Services • Richmond, VA, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Regional Director of Resident Care (RDRC).Remote-Based | 70% Travel Across VA, MD, DC, NJ, PA.Senior Living | Skilled Nursing | Clinical Leadership. We’re seeking a dynamic and experienced.Regional ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - PCU - Progressive Care Unit

    Travel Nurse RN - PCU - Progressive Care Unit

    Host Healthcare • Richmond, VA, US
    serp_jobs.job_card.full_time
    Host Healthcare is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Richmond, Virginia.Job Description & Requirements. Pay package is based on 12 hour shifts and...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Division Chief, Pulmonary & Critical Care Medicine

    Division Chief, Pulmonary & Critical Care Medicine

    AMN Healthcare • Richmond, US
    serp_jobs.job_card.full_time
    Job Description & Requirements.Division Chief, Pulmonary & Critical Care Medicine.StartDate : ASAP Pay Rate : $400000.Elevate your career as the leader of a nationally recognized academic division kn...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Integrated Care Manager

    Integrated Care Manager

    Sentara Hospitals • Richmond, Virginia, USA
    serp_jobs.job_card.full_time
    Sentara Health Plansis hiring an Integrated Nurse Case Manager / RNin Richmond.Cumberland Powhatan Goochland Sandy Hook Cartersville. The position requires both in-person face-to-face assessments and ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Registered Nurse (RN) - Hospice - $79K-108K per year

    Registered Nurse (RN) - Hospice - $79K-108K per year

    Gentiva • Fort Lee, VA, United States
    serp_jobs.job_card.full_time +1
    Gentiva is seeking a Registered Nurse (RN) Hospice for a nursing job in Fort Lee, Virginia.Job Description & Requirements. We are seeking a dedicated Patient Care Manager to join our hospice team.Re...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Hospice RN Case Manager Compassionate Patient Care

    Hospice RN Case Manager Compassionate Patient Care

    Enlight Hospice of VA • Richmond, VA, United States
    serp_jobs.job_card.full_time
    A hospice care provider in Richmond, VA is seeking a compassionate Hospice Nurse to provide quality care to patients with life-limiting illnesses. This full-time role involves conducting assessments...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Behavioral Health Care Manager II

    Behavioral Health Care Manager II

    Elevance Health • Richmond, Virginia, USA
    serp_jobs.job_card.full_time
    Behavioral Health Care Manager II.Behavioral Health Care Manager II.Monday Friday; 8 : 00am 5 : 00pm EST.Virtual within the state of Virginia. This role enables associates to work virtually full-time ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    RN Care Manager - Remote, nationwide

    RN Care Manager - Remote, nationwide

    Humana • Richmond, VA, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Become a part of our caring community and help us put health first.The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, env...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Memory Care Activity Director

    Memory Care Activity Director

    Manorhouse • Richmond, VA, USA
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Develop and implement the memory care Life Connections™ Activity Program to ensure social, physical, intellectual and recreational activities are available to enrich and engage the lives of our res...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days
    RN Case Manager Home Health

    RN Case Manager Home Health

    CenterWell Primary Care • Richmond, VA, United States
    serp_jobs.job_card.full_time
    Become a part of our caring community and help us put health first.Make a meaningful impact every day as a CenterWell Home Health nurse. You'll provide personalized, one-on-one care that helps patie...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted