Managed Care Operations Administrator
Company: VHC Health
Location: Alexandria
Posted on: February 19, 2026
|
|
|
Job Description:
Job Description Job Description Qualifications Purpose & Scope:
The Managed Care Operations Administrator is a day to day liaison
between the hospital and the health plans with which the hospital
contracts. Develop and maintain relationships with health plan
liaison personnel (provider relations representatives). Gathers
information from health plan liaison, websites, newsletters and
other publications regarding health plan policies and procedures
that impact the hospital’s provision of services and reimbursement.
Maintains and updates reference materials that is provided to all
appropriate employees periodically. Ensures that all appropriate
operations staffs have access to and train on health plan on-line
systems. This position provides focused training to departments on
managed care contracts and health plan policies and procedures to
improve compliance. This position also develops materials and does
training on EPIC payers and plans to improve accuracy of
registrations. The purpose of this position is to provide a focused
resources to work on day to day operational issues and focus on
training and process improvement. Assists the Managed Care
Operations Director in all of his/her duties. Education: Bachelor's
degree in healthcare management or in a related field is required.
Master's degree in healthcare administration, business, or
equivalent experience is preferred. Experience: Five years of
provider or payor healthcare experience required.
Certification/Licensure: None.
Keywords: VHC Health, Germantown , Managed Care Operations Administrator, Healthcare , Alexandria, Maryland