Managed Care Manager
About The Position
Step into a groundbreaking Managed Care Contracting opportunity with the leading ground ambulance interfacility transport (IFT) company. We’re seeking a Managed Care Manager to help shape and expand our contracting strategy from the ground level, building a national network that supports operations across 7 regions and 13 states. This fully remote leadership role partners directly with our CFO and finance team, offering a rare opportunity to influence how Managed Care and EMS evolve together in a rapidly growing organization. This is a chance to lead, innovate, and execute a best in class Managed Care strategy. If you’re proactive, highly organized, and ready to leverage your expertise and professional network to drive success, this role offers the opportunity to make a lasting impact. For over 35 years, MMT has been at the forefront of innovation, continuously expanding to support our team members and provide efficient, reliable interfacility ambulance patient transportation for our healthcare partners. Our growth is fueled by our experienced, empowered, and dedicated workforce, delivering exceptional care to patients. MMT employs AI-powered technology and state-of-the-art dispatch centers to ensure on-time, efficient, and effective operations. With a growing fleet of 500+ vehicles and a workforce of 3,200+ providers, MMT is committed to delivering the best patient care 24/7/365. If you're ready to contribute to our mission of delivering exceptional patient care, apply today to be a part of the MMT Ambulance team!
Requirements
- 5+ years of Managed Care contracting experience with a multi-state healthcare service company or Managed Care organization
- Managed Medicare and Medicaid experience
- Expert understanding of third-party healthcare reimbursement and licensure requirements
- Educational background in Business, Finance, Healthcare Administration or related field
- System savvy, professional, technology user
- Exceptional communication abilities
Responsibilities
- Negotiate and manage contracts with Managed Care Organizations
- Analyze reimbursement rates and other key terms against cost of service and internal and external benchmarks
- Create and maintain a contract database with templates
- Monitor contract compliance and help resolve any issues in claim processing
- Ensure adherence to federal, state, and local regulations, CMS, and state EMS agencies
- Serve as liaison with regulatory agencies during audits and inspections
- Stay current with healthcare laws, reimbursement models, and industry trends
- Support acquisitions, system conversions, and integration efforts
- Lead cross-functional teams to optimize managed care strategies and outcomes
- Provide training and guidance to staff on compliance and managed care protocols
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
Number of Employees
1-10 employees
