Job Description

Overview

Senior Managed Care Consultant, Regional Managed Care

While this role has been filled, we continue to accept resumes in the event additional consultants are needed

Project Highlights

• Location: Remote, based in Oklahoma, with health system and provider relationships in the state.
• Hours: Full-Time Consulting
• Start Date: days from selection
• Duration: + months

About the Role

We are seeking an experienced Senior Managed Care Consultant to lead managed care strategy, contracting, and network performance across regional markets. This role will focus on complex contract negotiations, value-based payment models, and provider network optimization, ensuring the success of key initiatives.

This is an excellent opportunity for an experienced managed care executive to apply their expertise in a full-time consulting capacity.

Key Responsibilities

• Develop and execute regional managed care strategies across multiple markets.
• Lead complex contract negotiations for provider agreements, ensuring optimal terms and value-based alignment.
• Provide functional oversight for pricing analytics, revenue cycle management, and national value-based payment models.
• Drive the transition from fee-for-service to value-based care, ensuring network sustainability and performance.
• Oversee the development and implementation of network expansion strategies that align with organizational goals.
• Collaborate with executive leadership to assess market conditions and identify strategic partnership opportunities.
• Act as a trusted advisor, offering guidance on managed care initiatives, payer relations, and reimbursement structures.

Qualifications & Experience

• years of managed care experience, with a strong background in contract negotiations and payer strategy.
• years in a senior leadership or management role preferred.

Bachelor's degree required; Master's degree preferred (business, healthcare administration, or related field).

Proven ability to develop and implement value-based care models.

Strong understanding of healthcare reimbursement, network development, and regulatory compliance.

Excellent communication, negotiation, and stakeholder management skills.

Hiring Process

The hiring process will consist of :

• Prescreening via email.
• interviews with EWINGS.
• interviews with the client team.

About EWINGS

EWINGS is a leader in helping clients build large-scale healthcare provider networks. Since , we have developed provider networks for clients in over , cities across all states.

A network assignment with EWINGS provides you the opportunity to gain valuable experience developing networks in multiple states for a variety of products with organizations of various sizes.

Additional Information

Candidates who input all (relevant) requested information during the registration process will increase their chances of being contacted when a position matches their skills and experience.

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