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Manager, Managed Care
Manager, Managed CareUnlock Health • Philadelphia, PA, US
Manager, Managed Care

Manager, Managed Care

Unlock Health • Philadelphia, PA, US
20 days ago
Job type
  • Full-time
Job description

Manager, Managed Care

Unlock Health breaks down the walls that healthcare providers have lived with for decades. We connect the dots across managed care and marketing so that providers can realize their missions and patients can get the right care. We've brought together the top healthcare marketing organizations to make this vision a reality, with a team of experts in managed care, technology, and ROI design.

Unlock Health is seeking a strategic and collaborative Manager, Managed Care Consulting to lead client engagements focused on managed care strategy, payor negotiations, and healthcare revenue optimization. This role requires a balance of consulting capabilities, client management, and communications expertise to drive measurable results for hospitals, health systems, and physician groups navigating complex payor environments. As a Manager, you will lead projects developing and executing managed care strategies including financial benchmarking, negotiation strategy, strategic communications, and stakeholder engagements that strengthen client positions.

What You'll Do :

  • Managed Care Consulting

Provide strategic insight and recommendations on contract negotiation positioning, payor mix, rate benchmarking, operational efficiencies, and network strategy.

  • Partner with analytics teams to interpret client data, price transparency data, and market trends to inform managed care strategies.
  • Translate complex reimbursement and contracting concepts into clear, actionable strategies and communications for audiences (patients, employers, brokers, and providers).
  • Identify and assess risks, scenarios, and potential impacts of contract terminations or out-of-network situations for clients.
  • Project Management
  • Serve as manager for managed care clients, overseeing strategic consulting engagements and ensuring high-quality deliverables across all workstreams.

  • Develop and manage project timelines, ensuring milestones and deliverables are met while maintaining alignment across client and internal teams.
  • Build and maintain strong client relationships by understanding their business objectives, identifying opportunities for strategic growth, and providing proactive counsel.
  • Manage internal cross-functional teams (analytics, creative, media, and communications) to ensure alignment and on-time delivery.
  • Oversee vendor and partner relationships (research firms, data vendors, call centers) to support client programs.
  • Lead client presentations and facilitate executive-level discussions.
  • Communications Development :
  • Lead the creation of strategic communication plans supporting managed care negotiations, issues management, and stakeholder engagement.

  • Oversee message development, creative concepting, and asset production across paid, earned, owned, and internal channels.
  • Review and refine all materials for clarity, tone, and alignment with client and regulatory standards.
  • Collaborate closely with internal creative and media teams to ensure communications are data-informed and audience-targeted.
  • Team Development and Collaboration :
  • Develop junior team members, providing feedback and professional growth opportunities.

  • Collaborate across Unlock's Managed Care, Strategic Communications, and Analytics teams to develop best practices and enhance integrated client delivery.
  • Contribute to internal training, client workflows and processes and methodologies.
  • Market Insights :
  • Stay ahead of healthcare industry trends, including reimbursement policy, payor performance, and regulatory changes impacting provider-payor dynamics.

  • Translate insights into actionable strategies for clients and contribute to Unlock Health's managed care knowledge base.
  • Ideal Qualifications :

  • Equivalent of 5 to 7 years of experience in healthcare consulting or managed care is a must, ideally within a consulting environment or health system.
  • Proven success leading managed care or reimbursement strategy projects such as benchmarking, negotiation preparation, or contract modeling.
  • Strong understanding of managed care models, provider reimbursement methodologies, and healthcare market dynamics.
  • Advanced proficiency in Microsoft Excel, including experience with data analysis, and translating findings into actionable insights.
  • Excellent writing, presentation, and storytelling skills capable of translating financial and strategic insights into compelling communications.
  • Demonstrated experience managing multiple clients, projects, and cross-functional teams simultaneously.
  • Experience with client-facing facilitation including running meetings, presenting analyses, and conducting stakeholder interviews.
  • Proficiency in analyzing data and metrics to inform strategy and measure impact.
  • Entrepreneurial mindset with a drive to innovate and grow the managed care consulting practice.
  • Bachelor's degree required; advanced degree in health administration, business, or public policy preferred.
  • Perks and Benefits :

  • Competitive Salary
  • Health, Dental and Vision benefit packages to fit all types of lifestyles
  • Life, Short- and Long-Term Disability Insurance paid 100% by the company
  • FSA / HSA Options
  • 401(K) with a generous company match program
  • Flexible Paid Time Off (aka- unlimited)
  • Paid Parental Leave
  • Hybrid and Remote work schedules available
  • Employee Assistance Program (unlimited free telephonic counseling for a variety of issues such as mental health, financial support, and legal advice)
  • Employee Referral Program
  • About Unlock :

    Unlock Health redefines what a marketing and advertising agency can do in healthcare by breaking down walls that have existed for decades. We've combined the best teams in healthcare marketing to help every client live their mission to promote, maintain, and restore health. Our "super agency" approach connects creative, content, and strategy to remove the guesswork from growth, measured by ROI technology. By bringing together the top talent in the industry, we are reshaping the future of healthcare marketing.

    We believe our business can only grow by including our Vision and Values in everything we do. Our hiring process is no different. We interview and hire based on our values.

    Equality Opportunity Employer Statement :

    Unlock, and its affiliate companies, is an equal opportunity employer dedicated to building an inclusive and diverse workforce. We provide equal employment opportunities without regard to an applicant's race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.

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