Manager, Managed Care Contracting

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 contracting

Experience With Data Analytics And Financial Modeling

Experience With A Healthcare Provider Organization

Experience 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.