Top 771 Reimbursement manager Jobs in North Canton Oh

Manager Payer Contracting and Provider Enrollment
Akron Children's Hospital —Akron, OH
- Full-time
- Hybrid work
- 5 years
- Finance
- Analysis skills
Program Manager - Aerospace
Parker Hannifin Corporation —Akron, OH
- Full-time
- Engineering
- 8 years
- Mentoring
- Paid parental leave
- Paid holidays
Operations Supervisor-North Canton, Ohio
Utility Technologies International —North Canton, OH
- From $67,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- English
- Health savings account
- Health insurance
Quick Apply
10d
Certified Occupational Therapist Assistant COTA Home Health PRN
Elara Caring —Akron, OH
- Part-time
- Background check
- Up to 50% travel
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
HR and Compliance Generalist (CME/OhioRISE)
Coleman Health Services —Kent, OH
- From $55,000 a year
- Full-time
- Mid-level
- Office
- Microsoft Office
- Paid time off
- Opportunities for advancement
Quick Apply
ICF Group Home Manager
Empowering People Inc —Tallmadge, OH
- From $20 an hour
- Full-time
- 18 years or older
- Clean driving record
- Management
- Health insurance
- Dental insurance
Quick Apply
Night RN Intake assesor
SunriseVista Behavioral Hospital —Canton, OH
- $28 - $35 an hour
- Day shift
- Nursing
- Psychiatry
- RN License
- Paid holidays
- Disability insurance
Quick Apply
8d
Assistant Project Manager - Commercial Construction
Fox Enterprise Services —North Canton, OH
- $50,000 - $65,000 a year
- Full-time
- Background check
- Construction site
- Pass drug screening
- Travel reimbursement
- Fuel card
Quick Apply
8d
Business Development Liaison
SunriseVista Behavioral Hospital —Canton, OH
- $70,000 - $85,000 a year
- Full-time
- Psychiatry
- Marketing
- Customer service
- Paid holidays
- Disability insurance
Quick Apply
Regional Sales Manager – Cleveland / Ohio Valley
Saleslink —Ohio
- $65,000 - $75,000 a year
- Full-time
- Clean driving record
- Mid-level
- Business development
- Health savings account
- Paid holidays
Quick Apply
1d
Fire Alarm & Suppression Technician Level III
CertaSite —Kent, OH
- Overtime
- Ability to lift 50 pounds
- US work authorization
- Senior level
- Paid parental leave
- Paid holidays
Quick Apply
Thermite Welder
JMG Global, LLC —Ohio
- $28 - $35 an hour
- Full-time
- Management
- Sales
- DOT physical examination
- Travel reimbursement
- Health savings account
Quick Apply
Construction Superintendent - New Custom Residential Homes
Diyanni Homes —Akron, OH
- From $72,500 a year
- Full-time
- Background check
- Construction site
- 5 years
- Mileage reimbursement
- Paid holidays
Quick Apply
Fire Alarm & Suppression Technician Level II
CertaSite —Kent, OH
- Overtime
- Mid-level
- Ability to lift 50 pounds
- US work authorization
- Paid parental leave
- Paid holidays
Quick Apply
B2B Sales Representative
Pella Windows and Doors by Gunton Corporation —Akron, OH
- $85,000 - $110,000 a year
- Full-time
- Background check
- Clean driving record
- Mid-level
- Profit sharing
- Paid training
Quick Apply
2d
Floor Nurse (RN or LPN) Dover Campus
PARK VILLAGE HEALTH CARE CENTER —Dover, OH
- Up to $34.75 an hour
- Nursing
- Vital signs
- Management
- Continuing education credits
- Paid holidays
Quick Apply
Indirect Buyer
Fresh Mark, Inc. —Massillon, OH
- Mid-level
- Bachelor's degree
- Contracts
- Paid holidays
- Health insurance
Quick Apply
9d
Traveling General Dentist Opportunity – Full-Time Mobile Care Role
ExcelHealth Group LLC —Ohio
- $300,000 a year
- Full-time
- Background check
- Nursing home
- Urgent Care
- Travel reimbursement
- Paid holidays
Quick Apply
10d
Sr Terminal Associate
50018 Heidelberg Materials US Cement LLC —Middlebranch, OH
- $51,580 - $63,620 a year
- Overtime
- No experience needed
- Mid-level
- Warehouse
- Health savings account
- AD&D insurance
9d
Clinical Sales Specialist, Surgical Pain - Dayton, OH
Avanos Medical —Ohio
- $65,000 - $75,000 a year
- Full-time
- Remote
- Nursing
- Mid-level
- Windows
- Health insurance
- 401(k) matching

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reimbursement manager jobs near north canton oh

Manager Payer Contracting and Provider Enrollment

Akron Children's Hospital -
Akron, OH

Apply Now

Job Details

Full-time | Per diem

Qualifications

Project team coordination
Efficiently processing insurance claims
Contract documentation review
Hospital payer negotiations
Operational analysis
Contract review
Healthcare staff management
Financial model construction
Legal analysis
Market analysis
Managed care organization experience
5 years
Bachelor's degree in finance
Operations coordination
Healthcare Administration
Coaching
Provider enrollment for medical credentialing
Contract interpretation
Bachelor's degree in business
Dynamic financial modeling
Contract management experience in healthcare
Finance
Team development
Hiring
Key Performance Indicators
ICD-10
HCPCS
Analysis skills
Supervising experience
Professional development support

Full Job Description

Job Description

Job Requisition Number 35436

Full-time, 40 Hours/week

Monday - Friday, 8AM - 4:30PM

Hybrid - Akron, OH 2-3 days onsite/week

Summary:

The Manager, Payer Contracting and Provider Enrollment serves as a senior individual contributor and key strategic partner to the Director of Managed Care. This role supports and advances the hospital's managed care contracting strategy through independent financial analysis, contract development, and negotiation support across commercial payers, Medicaid Managed Care Organizations (MCOs), value‑based arrangements, and, to a lesser extent, Medicare Advantage organizations. The Manager is entrusted with leading defined components of payer negotiations and developing contract recommendations. In addition, the Manager provides direct leadership and oversight to the Provider Enrollment team, ensuring timely and accurate enrollment of providers with payers, maintenance of enrollment records, and resolution of enrollment-related issues. The role works with a high degree of autonomy within established guidelines and regularly represents Managed Care in cross‑functional and payer discussions.

Responsibilities:

Lead preparation for and participation in payer contract negotiations for assigned payers, including development of rate proposals, payment methodologies (e.g., DRG, per diem, carve‑outs), and contract language protections, escalating strategic decisions to the Director as appropriate.
Independently perform and/or coordinate complex financial modeling and scenario analyses to evaluate contract proposals and support negotiation and renewal strategies.
Draft, review, and recommend contract language addressing reimbursement methodologies, access provisions, authorization requirements, denial prevention, and regulatory compliance.
Support development of payer portfolio strategies by compiling benchmarking data on rates, case mix, utilization, costs, outcomes, and market dynamics.
Serve as an internal resource for managed care contracting matters, coordinating input from Revenue Cycle, Payer Analytics, Legal, Finance, and clinical leadership to support informed contracting decisions.
Maintain oversight of contract documentation, renewal calendars, amendments, and expirations, and coordinate contracting activities including meeting planning, preparation of summaries, and follow‑up on action items to ensure timely execution and continuity.
Directly supervise and manage Provider Enrollment staff, including hiring, training, performance management, coaching and professional development.
Establish and monitor key performance metrics for the Provider Enrollment team in order to maximize efficiency and productivity.
Collaborate with the Medical Staff Office, Human Resources and Revenue Cycle to support an efficient provider onboarding and maintenance process.
Other duties as assigned.

Other information:

Technical Expertise

Advanced knowledge of managed care contracting principles, reimbursement methodologies, and payer operations in a healthcare setting.
Understanding of pediatric healthcare challenges, including high Medicaid volumes, subspecialty contracting, and value-based care for complex pediatric conditions.
Familiarity with medical coding (ICD-10, CPT, HCPCS), claims processing, and revenue cycle concepts.
Ability to interpret complex contract language, payer proposals, and regulatory requirements.
Strong analytical and strategic thinking skills with the capacity to handle large datasets and translate findings into actionable insights.
Excellent organizational project coordination and prioritization skills to manage multiple contracts and deadlines simultaneously.
Effective written and verbal communication skills for drafting documents, preparing reports, and collaborating with cross-functional teams.
Demonstrated ability to support contract negotiations and financial analyses with measurable impact on reimbursement optimization, contract performance, or operational efficiency.
Strong leadership and people-management skills, with the ability to motivate, develop and hold a team accountable for performance.

Education and Experience

Education: Bachelor's degree required (Business, Finance, Healthcare Administration, or related field preferred) or in lieu of degree, minimum of 8 years of relevant experience in healthcare contracting, managed care, provider credentialing, or related role required.
Licensure: None
Certification: None
Years of relevant experience: Minimum of 5 years of experience in healthcare contracting, managed care, provider credentialing, or a related role required. Experience in a children's hospital or pediatric-focused environment is strongly preferred, including familiarity with Medicaid MCOs and CHIP programs.
Years of supervisory experience: 2 years

Full Time

FTE: 1.000000

Status: Fixed Hybrid

Apply Now

Refine Your Search

reimbursement manager jobs in north canton oh

Manager Payer Contracting and Provider Enrollment

Program Manager - Aerospace

Operations Supervisor-North Canton, Ohio

Certified Occupational Therapist Assistant COTA Home Health PRN

HR and Compliance Generalist (CME/OhioRISE)

ICF Group Home Manager

Night RN Intake assesor

Assistant Project Manager - Commercial Construction

Business Development Liaison

Regional Sales Manager – Cleveland / Ohio Valley

Fire Alarm & Suppression Technician Level III

Thermite Welder

Construction Superintendent - New Custom Residential Homes

Fire Alarm & Suppression Technician Level II

B2B Sales Representative

Floor Nurse (RN or LPN) Dover Campus

Indirect Buyer

Traveling General Dentist Opportunity – Full-Time Mobile Care Role

Sr Terminal Associate

Clinical Sales Specialist, Surgical Pain - Dayton, OH

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