Manager, Managed Care Operations

Managed Care Operations Chicago, Illinois


Description

Company: Oak Street Health 

Title: Manager, Managed Care Operations

Location: Downtown Chicago (30 W. Monroe St.)


Oak Street Health is a rapidly growing, innovative company of community-based healthcare centers that provides higher quality health and wellness care that improves outcomes, manages medical costs, and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive and integrated care right in our patient’s communities, we can keep our patients healthy and then reinvest cost savings in further care for those same communities and others. Since 2013, Oak Street Health has brought its singular approach to tens of thousands of people in Illinois, Indiana, Michigan, Ohio, Pennsylvania, Rhode Island, North Carolina, Tennessee, Texas, Mississippi, and New York. With an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oak Street values and are passionate about the mission to rebuild healthcare as it should be.


For more information, visit http://www.oakstreethealth.com.



Role Description


The Manager, Managed Care Operations will immediately become an important leader on the Oak Street Health team. The ideal candidate will have strong relationship skills, be self-directed, and enjoy working with a team in a fast-paced startup environment, while bringing his/her experience and innovative ideas. Highly successful candidates will have existing familiarity with managed care systems/processes, and will have an expressed interest in managing a team as they continue career progression.


Responsibilities include:

  • Serve as organizational lead in OSH relationships with at least two large health plans, including contracting, implementation, and ongoing accountability management
  • Approach health plan relationships with the mindset of a “business owner”
    • Project-manage and own issues to resolution
    • Develop opportunities as they arise
    • Relentlessly pursue opportunities to express the value that Oak Street delivers for health plan partners
  • Proactively & professionally move contract negotiations forward, with strong understanding of key contract terms and the impact they have on Oak Street’s financial performance
  • Develop deep understanding of OSH financial operations/workflows and their key intersection points with health plan processes
  • Analyze financial implications of existing and potential future health plan contracts, quantifying and communicating organizational risk to senior leadership
  • Lead payer implementations independently
  • Manage value-add activities with payers beyond issue resolution
  • Proactively develop and share ideas for how to improve OSH workflows
  • Lead conversations proactively and strategically with field leadership on value-add activities
  • Support delegated activities as required (e.g. identification of business requirements for system implementation, oversight of vendor driven activities)
  • Develop junior Associates on the Manage Care Operations team who are serving as organization lead on additional OSH health plan relationships
  • Other duties as assigned based on background and areas of interest

What we’re looking for


Required qualifications include:

  • Bachelor's degree
  • Excellent communication, facilitation, and interpersonal skills with the ability to be personable yet persistent
  • Excellent problem-solving and analytical skills and impeccable business judgment
  • Ability to independently pursue and implement solutions to complex problems
  • Ability to manage multiple priorities in a fast-paced environment
  • Project management skills
  • People management skills and/or a history of managing direct reports
  • Strong MS Excel skills
  • U.S. work authorization
  • Someone who embodies being “Oaky”

What does being “Oaky” look like?


  • Radiating positive energy
  • Assuming good intentions
  • Creating an unmatched patient experience
  • Driving clinical excellence
  • Taking ownership and driving for results
  • Being scrappy

Why Oak Street?


Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as:


  • Collaborative and energetic culture
  • High levels of responsibility and rapid advancement
  • Headquarters (the “Treehouse”) located in the heart of Downtown, close to many public transit options and great restaurants 
  • Competitive benefits; including paid vacation/sick time, generous 401K match with immediate vesting, as well as health benefits

Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to oakstreethealth.com/careers.