Managed Care Contracting Manager

The Johns Hopkins Health System Corporation is a not-for-profit organization dedicated to providing the highest quality of care in the treatment and prevention of human illness. JHHS is an academically based health system consisting of: The Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, Johns Hopkins Howard County Medical Center, Suburban Hospital, Sibley Memorial Hospital, The Johns Hopkins All Children’s Health System, Johns Hopkins Community Physicians, The Johns Hopkins Medical Services Corporation and Johns Hopkins Medical Management Corporation. 

What Awaits You?

• Career growth and development
• Employee and Dependent Tuition Assistance
• Diverse and collaborative working environment
• Affordable and comprehensive benefits package

The Managed Care Contracting Manager manages the execution, and administration of managed care agreements. Supports contract negotiations with our major third-party payers and is responsible for negotiation of managed care agreements with minor third party payers. Analyzes contract performance and collaborates with stakeholders to support the financial and operational goals of the organization. Responsible for addressing contract-related queries, from internal and external stakeholders, and facilitate process improvements. Manages contractual disputes that arise with third party payers under managed care agreement terms. Responsible for carrying out obligations under managed care agreements such as charge master notices, requests for fee schedules and other obligations as applicable.

Education and Experience:

• Bachelor's Degree in business administration, healthcare administration, or a related field Required

• Master's Degree in business administration, healthcare administration, or a related field preferred

• One year of relevant education may be substituted for one year of required work experience or one year of relevant professional-level work experience may be substituted for one year of required education.

• 7+ years of experience in managed care contracting or a related field required