New

Managed Care Contracting Manager

TEKsystems
$36.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, Missouri, St. Louis
Aug 21, 2025
Teksystems i currently hiring for a Managed Care contracting & Provider Relations Manager. To be considered for this opportunity, all candidates MUST have direct experience with negotiating and renegotiating contracts with insurance payors. Credentialed and enrollment experience will not be considered for this opportunity. As the Managed Care Contracting and Provider Relations Manager, you will be responsible for expanding and optimizing our national payor network strategy. This high-impact leadership role is focused on securing new payor agreements, re-negotiating existing contracts, and fostering strong relationships with managed care organizations to ensure timely patient access to our services. Leveraging your established industry connections and deep knowledge of managed care contracting, you will proactively identify opportunities, overcome network entry barriers, and create value-driven partnerships that highlight the benefits we deliver to payors and their members. This position is ideal for a strategic, results-driven individual with strong negotiation skills and national experience navigating complex payor landscapes. Lead all aspects of managed care contract negotiations, including new agreements, amendments, and renewals with commercial, Medicare Advantage, and other managed care payors Develop and execute a comprehensive contracting strategy that aligns with organizational growth goals and enhances patient access to in-network services Utilize established payor relationships to accelerate network entry opportunities, reducing reliance on standard Letter of Interest (LOI) processes Act as the primary liaison with payors, maintaining positive relationships and resolving contract-related issues promptly Collaborate with internal stakeholders (Operations, Finance, Revenue Cycle, Legal) to ensure contracts are financially sound, compliant, and operationally feasible Monitor market trends, competitive activity, and regulatory changes impacting managed care contracting and reimbursement Partner with leadership to identify and pursue new payor partnerships that expand our national footprint Track, analyze, and report on contract performance and financial outcomes, identifying opportunities for improvement or renegotiation Represent the organization professionally in all interactions with external payor representatives, demonstrating our value proposition and commitment to member outcomes Skills Provider Contracting, Managed Care, Network Development, Risk-Based Contracts, Fee-for-Service (FFS), Contract Negotiation, Reimbursement Models, Medicare/Medicaid, Credentialing, ERGS, Per diems, United Health Group, Managed Care contracting, pay methodologies, case rate, time-limited filling, Provider Onboarding, Relationship Building, Physician Engagement Minimum of 3 years of managed care contracting experience with proven success negotiating payor agreements. At least 5 years in a healthcare network management, payor relations, or provider contracting role is strongly preferred Demonstrated success building relationships and influencing decision-makers within major national payor organizations In-depth understanding of managed care principles, reimbursement methodologies, and commercial and Medicare Advantage markets Strong negotiation skills with the ability to develop creative contracting solutions and drive favorable outcomes Proven ability to manage multiple high-priority projects simultaneously in a fast-paced environment Excellent communication, presentation, and interpersonal skills Self-motivated, strategic thinker with a solutions-oriented mindset Knowledge of revenue cycle processes and the impact of payer contracts on operational and financial outcomes is a plus Ability to handle sensitive information with discretion and professionalism Pay and Benefits* The pay range for this position is $36.00 - $36.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Sep 1, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.