Managed Care Manager

Location: Remote (U.S.)
Department: Revenue Cycle Management
Reports To: Director of Managed Care

Are you an experienced managed care professional who thrives on building payer partnerships, negotiating contracts, and improving reimbursement outcomes? We're looking for a Managed Care Manager to play a key role in advancing our payer strategy and supporting the continued growth of our organization.

Under the direction of the Director, Managed Care, the Managed Care Manager is responsible for the daily management and oversight of Greenbrook's Managed Care operations, including provider credentialing, payer enrollment, and contract administration. This role ensures accurate and compliant execution of managed care processes and promotes operational efficiency, data integrity, and payer relationship management. The Managed Care Manager provides direct supervision to Managed Care Specialists I, oversees workflow distribution, and supports process improvement initiatives that align with organizational goals. The position requires strong leadership skills, a detailed understanding of credentialing and payer operations, and the ability to translate strategic objectives into operational execution.

Essential Duties/Responsibilities:

• Operational Leadership and Team Management
• Manages day-to-day activities of the Managed Care team, ensuring timely completion of credentialing, payer enrollment, and contract setup activities.
• Oversees the performance and development of Managed Care Specialists I and II, including training, coaching, and performance evaluations.
• Allocates workload, monitors productivity, and ensures consistent adherence to department standards and timelines.
• Promotes a culture of accountability, accuracy, and collaboration within the team.
• Credentialing and Payer Enrollment Oversight
• Oversees end-to-end credentialing and payer enrollment processes for all providers across Greenbrook's network.
• Ensures compliance with payer requirements, accreditation standards, and internal policies.
• Troubleshoots escalated credentialing and enrollment issues, providing guidance and resolution to both internal and external stakeholders.
• Maintains current knowledge of payer enrollment systems and updates, including CAQH, PECOS, NPPES, and payer portals.
• Contract and Payer Administration Support
• Supports the Director, Managed Care in payer contract setup, maintenance, and renewal processes.
• Monitors and maintains payer matrices, contract repositories, and key terms to ensure contract accuracy and accessibility.
• Coordinates with the Finance and Revenue Cycle teams to ensure proper payer setup and reimbursement alignment.
• Identifies and communicates opportunities for operational or contractual improvements to leadership.
• Data Integrity and Reporting
• Oversees data management processes to ensure provider information is current, accurate, and consistent across all systems (Salesforce, AdvancedMD, SharePoint, and others).
• Prepares and analyzes managed care metrics and dashboards related to credentialing turnaround times, enrollment status, and payer updates.
• Monitors trends and identifies potential risks or bottlenecks within the credentialing and contracting workflow.
• Process Improvement and Compliance
• Collaborates with the Director, Managed Care to evaluate and implement process improvements that enhance accuracy and efficiency.
• Develops, documents, and enforces departmental procedures and best practices.
• Ensures compliance with HIPAA, payer requirements, and applicable federal and state regulations.
• Supports internal and external audit preparation and remediation activities as needed.
• Cross-Functional Collaboration
• Serves as a liaison between Managed Care, Operations, Finance, and Revenue Cycle teams to align provider setup and reimbursement processes.
• Assists in interpreting payer contract language and communicating implications to internal teams.
• Partners with leadership to support special projects, new market expansions, and organizational initiatives related to managed care and network management.
• Other duties as assigned.

Knowledge, Skills, and Abilities:

• Strong understanding of managed care operations, payer credentialing, and reimbursement processes.
• Demonstrated leadership skills with the ability to train, coach, and develop high-performing teams.
• Excellent analytical, organizational, and problem-solving abilities.
• Proficiency in Microsoft Excel and data analysis/reporting.
• Strong communication and interpersonal skills; ability to work collaboratively with cross-functional teams.
• High attention to detail and ability to manage multiple priorities in a deadline-driven environment.
• Commitment to compliance, accuracy, and process improvement.

Education and Experience:

• Bachelor's degree in Healthcare Administration, Business, or a related field required.
• 5-7 years of experience in managed care, credentialing, or payer enrollment required.
• Experience with CRM or credentialing systems such as Salesforce, AdvancedMD, CAQH, NPPES, PECOS, and SharePoint required.

Preferred Skills:

• Certification in credentialing (CPCS, CPMSM) preferred.
• 2+ years of leadership or supervisory experience in a healthcare or revenue cycle management setting preferred.

Physical Requirements:

• Remote work environment with extensive computer use.
• Must be able to sit for extended periods and perform repetitive motions with hands and wrists.
• Occasional lifting of up to 15 pounds.
• Noise level is generally low to moderate.

*Applicants must be authorized to work for any employer in the US. We are unable to sponsor or assume responsibility for employment visa/work authorization at this time.

Greenbrook, a subsidiary of Neuronetics, is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Greenbrook makes hiring decisions based solely on qualifications, merit, and/or business needs at the time.

*We are committed to providing equal employment opportunities to individuals with disabilities and protected veterans.

Benefits Statement:Selected candidate will be eligible to participate in the Company's employee benefit plans, which currently include: health insurance; dental insurance; vision insurance; optional supplemental medical insurance; health savings and flexible spending accounts; company-paid life insurance and additional voluntary life insurance; company-paid short term disability and long term disability insurance; participation in a 401(k) savings and investment plan with company contribution; and paid time off for non-exempt salaried employees is calculated as .625 per pay period worked for vacation time and .29166 per pay period for personal time. Full-time exempt employees will be eligible for Flex-PTO, which allows time off without accrual. If applicable and required under state law, the successful candidate will also be eligible for paid sick leave. These benefits are subject to plan terms, company policies and are subject to change.

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About Us

Neuronetics, together with Greenbrook Mental Wellness Centers, delivers innovative mental health treatments through FDA-cleared NeuroStar TMS and Spravato therapies. Our mission is to expand access to life-changing care, combining cutting-edge technology, compassionate patient support, and clinical excellence to improve lives every day. Join us in making a meaningful impact in the rapidly growing mental health field.