H-1B Visa Managed Care Coordinator Jobs
Managed Care Coordinator roles qualify for H-1B visa sponsorship as specialty occupations requiring a bachelor's degree in health administration, nursing, or a related field. Employers in health plans, hospital systems, and third-party administrators regularly file LCAs through DOL and petition USCIS for these positions.
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Get Access To All JobsINTRODUCTION
As Mount Sinai grows, so does our legacy in high-quality health care.
Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.
Culture of Caring: The Sinai Way
Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.
DEPARTMENT:
JOB DESCRIPTION SUMMARY:
Position Responsibilities
- Performs ongoing/retrospective charge audits of patient records for the purpose of identifying charging and billing weaknesses in the system and possible compliance issues.
- Performs concurrent reviews for potential catastrophic cases to ensure charges are accurate.
- Represents hospital for charge audit functions with Insurance Carriers and their Representatives.
- Manages audit tracking reports such as Revenue Management Dashboard, Insurance Defense Audit, Implant reviews and S/L Threshold.
- Monitors net audit results to ensure health plan's compliance with Hospital/Contractual audit terms.
- Ensures that all daily and/or weekly reports are completed within the timeframe allotted.
- Analyzes departmental audit findings via reports and charts and presents results to VP of Finance and other appropriate parties.
- Summarizes all audit activities on a monthly basis via the Monthly Audit Operations report and identifies areas of potential inaccuracies.
- Monitors clinical departments implementation of audit results and ensures corrective actions take place within the deadlines agreed upon.
- Ensures insurance defense audits are conducted in accordance with hospital audit protocol and/or contractual obligations.
- Periodically monitors CMS transmittals and/or communications to ensure Audit Team is current with Medicare guidelines and provides these resources to hospital departments as needed.
- Provides suggestions/examples to the chargemaster manager to ensure hospital price structure adheres to industry standards and is compliant with government directives.
- Identifies loopholes and/or weaknesses in contract language as it pertains to audit functions and provides feedback to Managed Care Contracting.
- Provides education to ancillary departments throughout the hospital to ensure appropriate documentation and billing.
- Monitors audit requests from the Business Office and other internal departments to ensure Audit Team's resources are utilized effectively. Proactively communicates with Business Office management to eliminate unnecessary requests and provides education on audit functions when applicable.
- Monitors trends in chart documentation in order to provide feedback to clinical departments and/or medical staff as necessary.
- Evaluates record abstracting accuracy in conjunction with charges based on documentation and communicates with Health Information Management to provide feedback.
QUALIFICATIONS
License/Registration/Certification
- N/A
Education
- Bachelors Degree in Business, Accounting or related field.
Experience
- 3+ years experience in Healthcare Reimbursement plus prior lead / supervisory experience.
BENEFITS:
We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:
- Health benefits
- Life insurance
- Long-term disability coverage
- Healthcare spending accounts
- Retirement plan
- Paid time off
- Pet Insurance
- Tuition reimbursement
- Employee assistance program
- Wellness program
- On-site housing for select positions and more!
Degree Requirements
Certification:
INTRODUCTION
As Mount Sinai grows, so does our legacy in high-quality health care.
Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.
Culture of Caring: The Sinai Way
Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.
DEPARTMENT:
JOB DESCRIPTION SUMMARY:
Position Responsibilities
- Performs ongoing/retrospective charge audits of patient records for the purpose of identifying charging and billing weaknesses in the system and possible compliance issues.
- Performs concurrent reviews for potential catastrophic cases to ensure charges are accurate.
- Represents hospital for charge audit functions with Insurance Carriers and their Representatives.
- Manages audit tracking reports such as Revenue Management Dashboard, Insurance Defense Audit, Implant reviews and S/L Threshold.
- Monitors net audit results to ensure health plan's compliance with Hospital/Contractual audit terms.
- Ensures that all daily and/or weekly reports are completed within the timeframe allotted.
- Analyzes departmental audit findings via reports and charts and presents results to VP of Finance and other appropriate parties.
- Summarizes all audit activities on a monthly basis via the Monthly Audit Operations report and identifies areas of potential inaccuracies.
- Monitors clinical departments implementation of audit results and ensures corrective actions take place within the deadlines agreed upon.
- Ensures insurance defense audits are conducted in accordance with hospital audit protocol and/or contractual obligations.
- Periodically monitors CMS transmittals and/or communications to ensure Audit Team is current with Medicare guidelines and provides these resources to hospital departments as needed.
- Provides suggestions/examples to the chargemaster manager to ensure hospital price structure adheres to industry standards and is compliant with government directives.
- Identifies loopholes and/or weaknesses in contract language as it pertains to audit functions and provides feedback to Managed Care Contracting.
- Provides education to ancillary departments throughout the hospital to ensure appropriate documentation and billing.
- Monitors audit requests from the Business Office and other internal departments to ensure Audit Team's resources are utilized effectively. Proactively communicates with Business Office management to eliminate unnecessary requests and provides education on audit functions when applicable.
- Monitors trends in chart documentation in order to provide feedback to clinical departments and/or medical staff as necessary.
- Evaluates record abstracting accuracy in conjunction with charges based on documentation and communicates with Health Information Management to provide feedback.
QUALIFICATIONS
License/Registration/Certification
- N/A
Education
- Bachelors Degree in Business, Accounting or related field.
Experience
- 3+ years experience in Healthcare Reimbursement plus prior lead / supervisory experience.
BENEFITS:
We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:
- Health benefits
- Life insurance
- Long-term disability coverage
- Healthcare spending accounts
- Retirement plan
- Paid time off
- Pet Insurance
- Tuition reimbursement
- Employee assistance program
- Wellness program
- On-site housing for select positions and more!
Degree Requirements
Certification:
See all 99+ H-1B Visa Managed Care Coordinator Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new H-1B Visa Managed Care Coordinator Jobs.
Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Managed Care Coordinator
Verify your degree meets specialty occupation standards
USCIS requires your degree field to directly relate to managed care coordination. A health administration, public health, or nursing degree strengthens your case. A general business degree may trigger an RFE, so gather transcripts showing relevant coursework before applying.
Search LCA filings by occupation code
Managed Care Coordinator filings appear under SOC code 11-9111 in DOL disclosure data. Use Migrate Mate to filter employers who have filed LCAs for this occupation, so you target companies with a verified H-1B sponsorship track record for this specific role.
Target health plan and payer-side employers first
Managed care coordination roles at insurance carriers and integrated delivery networks generate more H-1B filings than standalone clinics. Payer-side employers typically have dedicated HR teams familiar with the I-129 petition process, which reduces filing errors and delays.
Confirm the offered wage meets DOL prevailing wage
Before accepting an offer, check the OFLC Wage Search for the prevailing wage in your employer's county under SOC 11-9111. Your offer must meet or exceed the Level I or Level II wage to satisfy LCA certification requirements.
Ask about cap-exempt employer status during interviews
Hospitals affiliated with nonprofits or academic medical centers may qualify as cap-exempt H-1B employers, letting you start any time of year without waiting for the April lottery. Confirm this directly with HR before the offer stage.
Align your start date with the 60-day grace period
If you're transitioning from OPT or a prior H-1B, your 60-day grace period begins when your previous employment ends. Your new employer must file the I-129 before that window closes to maintain your lawful status through the transfer.
H-1B Visa Managed Care Coordinator: Frequently Asked Questions
Does a Managed Care Coordinator role qualify as an H-1B specialty occupation?
Yes, provided the position requires at least a bachelor's degree in a directly related field such as health administration, public health, or nursing. Roles that accept any bachelor's degree regardless of field are more vulnerable to RFEs. Employers strengthen the petition by documenting that the job duties require specialized healthcare knowledge tied to a specific degree.
Which employers sponsor H-1B visas for Managed Care Coordinators?
Health insurance carriers, integrated delivery networks, Medicaid managed care organizations, and hospital systems are the most consistent H-1B sponsors for this role. You can find employers with verified LCA filing history for Managed Care Coordinator positions on Migrate Mate, filtered by occupation and geography so you're not applying blind.
How does the H-1B lottery affect my timeline for a Managed Care Coordinator job?
If your target employer is cap-subject, your employer must register during USCIS's March lottery window, and employment can't start before October 1 of that fiscal year. Nonprofit hospitals and academic medical centers are often cap-exempt, allowing an earlier start date. Clarify your employer's cap status before negotiating your start date.
What SOC code applies to Managed Care Coordinator roles for LCA purposes?
Most Managed Care Coordinator positions are filed under SOC code 11-9111 (Medical and Health Services Managers) in the DOL's LCA process. Some employers file under SOC 29-9099 depending on clinical duties. The SOC code determines the prevailing wage level USCIS and DOL require, so verify which code your employer plans to use before the LCA is filed.
Can I transfer my H-1B to a new managed care employer mid-year?
Yes. Under H-1B portability rules, you can begin working for a new cap-subject employer as soon as they file a non-frivolous I-129 transfer petition, without waiting for approval, as long as you've been in valid H-1B status. Your new employer must file a fresh LCA at the prevailing wage for the new work location before submitting the petition.