Manager, Managed Care Contracting
📋 Role Overview & Responsibilities
At Inbound Health, we provide an enablement platform with full-stack capabilities and proprietary technology and analytics tools customized for hospital and skilled nursing at home. Our flexible partnership structure helps customers leverage their existing assets while filling the necessary gaps for program scalability. With over 6,000 patients served across 350+ primary diagnoses since May 2020, we enable our clients to deliver safe, coordinated, and patient-centric care. Our comprehensive approach integrates biometric monitoring, in-home nursing, virtual visits, and a reliable supply chain, prioritizing quality and safety.
The Manager of Managed Care Contracting will be responsible for supporting the development and execution of the company’s managed care strategy and contracting functions. This includes the successful development, implementation, and ongoing management of managed care contracts for hospital and skilled nursing facility (SNF)-level care at home services.
RESPONSIBILITIES:Performance ManagementManage a portfolio of contacts and provider relationships for hospital and SNF@home servicesEvaluate contact performance and makes recommendations with respect to new cost management opportunitiesDevelop cost and utilization reports to share with payor and system partnersMonitor health care marketplace and internal utilization trends to assess new opportunities for cost savings, alternate delivery models and financial risk sharingSupervise medical economics team/business functionRegulatory ComplianceResponsible for monitoring compliance with contractual terms and conditions with system and payor partnersStay up to date with relevant healthcare regulations and insurance policies, ensuring compliance in actuarial practices and contributing to development of internal policies and proceduresContract developmentPerform analyses, including risk assessments, pricing evaluations, trend analysis, and financial projections to support strategic decision-making and contract performanceDevelop models for bundled hospital and SNF-at-home services, incorporating variables such as patient acuity, reimbursement rates, and market dynamics to maximize revenue generation while ensuring affordability and competitivenessSupport negotiations with health plans to secure favorable reimbursement rates, contract terms, and conditions for hospital at SNF at home servicesCollaborationCollaborate with cross-functional teams, including finance, operations, and marketing, to develop strategic initiatives, support product development, and drive overall business growthReporting and PresentationsPrepare and present contract reports and findings to senior management and stakeholders, conveying findings in a clear and concise manner.Continuous ImprovementIdentify areas for process improvement, automation, and enhanced efficiency within the managed care contracting function, leveraging technological tools and industry best practices.
EDUCATION REQUIREMENTS:Bachelor’s Degree MHA or MBA preferred
KNOWLEDGE & SKILLS REQUIREMENTS:Skilled in reporting, financial modeling & data analyticsKnowledge of relevant regulatory requirementsUnderstanding of contract development & negotiationsStrong (verbal & written) communication & interpersonal skills Negotiation skills (preferably within a hospital, medical group or similar healthcare environment)Detail-oriented, self-motivated, comfortable in ambiguity, results/deadline driven
WORK EXPERIENCE REQUIREMENTS:BA + 5 years or Masters + 2 years of demonstrated experience working managed care and/or value-based contractingExperience with data analytics and financial modelingExperience with a healthcare provider organizationExperience with contract negotiations
PHYSICAL REQUIREMENTS:Prolonged sittingHeavy computer usage
ADDITIONAL POSITION DETAILS:Position will have dual reporting to CMO & SVP, Customer & GrowthUp to 10% travel Salary Range: $85,000 - $130,000. Individual compensation is based on skill set, experience, qualifications, location, labor markets, and other job-related reasons.
What We OfferMedical, Dental & Vision401(K) matchingPaid Time Off including 10 paid holidaysShort- & Long-Term DisabilityLife InsuranceWellness StipendPaid Parental LeaveOpportunities for growth & developmentAnd more
Inbound Health is proud to be an equal opportunity employer. Not only do we embrace diversity but we, at Inbound Health, are committed to building a team that represents a variety of backgrounds, perspectives, and skills to reflect the diverse identities, experiences, and geographies of the patients we serve. We do not discriminate on the basis of race, sex, age, handicap, religion, natural origin or any other basis of protected class and were prohibited by law.
Frequently Asked Questions
How do I apply for the Manager, Managed Care Contracting position at Inbound Health? ▼
Click the “Apply for this Position” button on this page to submit your application directly to Inbound Health without recruitment intermediary fees.
Is this position eligible for remote work or visa sponsorship? ▼
This position is located in United States with potential relocation and sponsorship assistance depending on candidate qualifications.
Are there any candidate fees on Hirely? ▼
No. Hirely is completely free for candidates. We never charge registration fees or placement fees.
Legitimate employers will never ask you to transfer funds, purchase equipment from unauthorized vendors, or pay application/visa fees. Hirely rigorously monitors listings, but always verify communication is from official corporate email domains.
Learn how to protect yourself against employment fraud →