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.

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. Every member of our team plays a vital role in delivering compassionate and effective healthcare solutions. We invite you to join us in our mission to ensure that every patient and family member feels valued, respected, and cared for throughout their healthcare journey.

Qualifications

Education.

• Bachelor's degree required.

Experience :

Skills :

Must be a strong negotiator.

Interpersonal Skills :

Hours :

Compensation :