OPT Managed Care Coordinator Jobs
Managed Care Coordinator roles sit at the intersection of healthcare administration and patient advocacy, making them a strong fit for OPT students with degrees in health administration, public health, or nursing. Most positions qualify as specialty occupations, supporting H-1B visa sponsorship after OPT. STEM OPT extension is not typically available for this role.
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Get Access To All JobsINTRODUCTION
Reports to the Manager of Managed Care. Responsible for assisting the Manager of Managed Care in negotiating, maintenance, problem resolution and internal coordination of assigned managed care contracts and proposals for Beacon Health System. Works with the Manager of Managed Care to manage the contract process for Beacon Health System and is a lead for the department. Acts as a service representative for internal clients and payors, scheduling in-services as needed and works to operationalize the managed care agreements. Responsible for maintaining contracting files and contracting system(s). Supports the management team by providing input into the strategic planning process. Responsible to assist with Beacon ACO and CHA ACO, LLC networks and CMS MSSP as directed.
MISSION, VALUES and SERVICE GOALS
- MISSION: We deliver outstanding care, inspire health, and connect with heart.
- VALUES: Trust. Respect. Integrity. Compassion.
- SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.
Maintains coordination for Managed Care contracts with involved entities and is responsible for customer service representation to all clients by:
- Notifying appropriate entities of all new contracts and any alterations of current contracts.
- Developing and circulating all quarterly reports.
- Working on the development of managed care contracts and proposed protocols with the assistance of management.
- Handling contract negotiation/renewal processes and/or undertaking these tasks as directed and/or necessary with the assistance of management.
- Completing administration and enrollment paperwork of new payors and manages maintenance and accuracy of contract management system(s) utilized by the department.
- Serving as a liaison with attorney regarding contract language.
- Attending all applicable meetings necessary to obtain approval on proposed agreements by Beacon Entities.
Supports the management team by:
- Maintaining current contracts, credentialing information and roster of clients.
- Notifying appropriate entities of new payor groups.
- Coordinating activities and resolving problems of key internal functions such as Accounting, Billing, Collections and Registration.
- Assisting management with new product design.
- Assisting in the development and maintenance of policies and procedures to most effectively manage and monitor Managed Care activities.
- Evaluating and modeling proposed financial terms, making recommendations based upon the financial analysis performed to prepare for counter proposals to payers.
- Presenting new contracts and or revised fee proposals to Manager for approval.
Serves as Managed Care System Administrator by:
- Maintaining current knowledge base on benefit and network designs to act as service representative for internal and external contacts and maintaining payor database.
- Conducting and/or arranging regular education trainings for contracted managed care companies to ensure managed care provider tools and resources are known.
- Coordinating and conducting training as needed for administrative staff.
- Maintaining information on the intranet site.
- Assessing performance of contracted agreements for each Beacon Entity and communicating those findings to management to compose contracting strategies and goals yearly.
Supports the management team by:
- Providing input into the departmental strategic planning process.
- Working with sales staff and assisting with Requests for Information (RFI’s) as needed.
Perform functions for Beacon ACO and CHA ACO, LLC as directed.
- Completing other job-related assignments and special projects as directed.
ORGANIZATIONAL RESPONSIBILITIES
Associate complies with the following organizational requirements:
- Attends and participates in department meetings and is accountable for all information shared.
- Completes mandatory education, annual competencies and department specific education within established timeframes.
- Completes annual employee health requirements within established timeframes.
- Maintains license/certification, registration in good standing throughout fiscal year.
- Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
- Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
- Adheres to regulatory agency requirements, survey process and compliance.
- Complies with established organization and department policies.
- Available to work overtime in addition to working additional or other shifts and schedules when required.
Education and Experience
The knowledge, skills and abilities as indicated below are normally acquired through the successful completion of a Bachelor's Degree in Business, Economics, Marketing or a related field. A minimum of three years of managed care and group insurance experience, through which a background in Medicaid, Medicare and physician contracting was gained, is required.
Knowledge & Skills
- Requires a minimum of 5 years experience with direct payer, carrier, network and value based contracting for facilities and professionals.
- Requires knowledge of data analytic processes and interpretation of financial data sets as it relates to contract negotiation, payer and value based strategy.
- Requires an in-depth knowledge and understanding of employee benefit products/plans, including health/medical, dental and workers compensation, case processing (proposal, renewal, plan design, billing, claims, etc.) and the regulatory provisions of the Health Insurance Portability & Accountability Act of 1996 (HIPAA).
- Requires well-developed knowledge and understanding of PHO, HMO, PPO and POS healthcare delivery systems.
- Requires well-developed knowledge of Value Based programs, terminology and structure for both facilities and professionals.
- Demonstrates proficiency in basic computer skills (i.e. data entry, word processing, spreadsheets and database applications).
- Requires strong skills in organization, time management, research and analysis.
- Requires an in-depth understanding of contractual language, computer systems, accounting and finance.
- Demonstrates well-developed communication skills necessary to effectively communicate both verbally and in writing and to make presentations to individuals and small and large groups.
- Demonstrates a high level of interpersonal skills in order to ensure that effective relationships are developed, maintained and managed in a professional and effective manner with medical staff members, Hospital and System management team, patients, representatives of client organizations, business leaders, various public managers, physician groups and legal counsel.
Working Conditions
- Works in an office environment.
- May be required to vary hours and days, and work on holidays, etc., depending upon the needs of the department.
Physical Demands
- Requires the physical ability and stamina to perform the essential functions of the position.
LOCATION
Location: Beacon Health System · Managed Care
SCHEDULE
Schedule: Full-time, Day, Monday - Friday 8:00 - 5:00
INTRODUCTION
Reports to the Manager of Managed Care. Responsible for assisting the Manager of Managed Care in negotiating, maintenance, problem resolution and internal coordination of assigned managed care contracts and proposals for Beacon Health System. Works with the Manager of Managed Care to manage the contract process for Beacon Health System and is a lead for the department. Acts as a service representative for internal clients and payors, scheduling in-services as needed and works to operationalize the managed care agreements. Responsible for maintaining contracting files and contracting system(s). Supports the management team by providing input into the strategic planning process. Responsible to assist with Beacon ACO and CHA ACO, LLC networks and CMS MSSP as directed.
MISSION, VALUES and SERVICE GOALS
- MISSION: We deliver outstanding care, inspire health, and connect with heart.
- VALUES: Trust. Respect. Integrity. Compassion.
- SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.
Maintains coordination for Managed Care contracts with involved entities and is responsible for customer service representation to all clients by:
- Notifying appropriate entities of all new contracts and any alterations of current contracts.
- Developing and circulating all quarterly reports.
- Working on the development of managed care contracts and proposed protocols with the assistance of management.
- Handling contract negotiation/renewal processes and/or undertaking these tasks as directed and/or necessary with the assistance of management.
- Completing administration and enrollment paperwork of new payors and manages maintenance and accuracy of contract management system(s) utilized by the department.
- Serving as a liaison with attorney regarding contract language.
- Attending all applicable meetings necessary to obtain approval on proposed agreements by Beacon Entities.
Supports the management team by:
- Maintaining current contracts, credentialing information and roster of clients.
- Notifying appropriate entities of new payor groups.
- Coordinating activities and resolving problems of key internal functions such as Accounting, Billing, Collections and Registration.
- Assisting management with new product design.
- Assisting in the development and maintenance of policies and procedures to most effectively manage and monitor Managed Care activities.
- Evaluating and modeling proposed financial terms, making recommendations based upon the financial analysis performed to prepare for counter proposals to payers.
- Presenting new contracts and or revised fee proposals to Manager for approval.
Serves as Managed Care System Administrator by:
- Maintaining current knowledge base on benefit and network designs to act as service representative for internal and external contacts and maintaining payor database.
- Conducting and/or arranging regular education trainings for contracted managed care companies to ensure managed care provider tools and resources are known.
- Coordinating and conducting training as needed for administrative staff.
- Maintaining information on the intranet site.
- Assessing performance of contracted agreements for each Beacon Entity and communicating those findings to management to compose contracting strategies and goals yearly.
Supports the management team by:
- Providing input into the departmental strategic planning process.
- Working with sales staff and assisting with Requests for Information (RFI’s) as needed.
Perform functions for Beacon ACO and CHA ACO, LLC as directed.
- Completing other job-related assignments and special projects as directed.
ORGANIZATIONAL RESPONSIBILITIES
Associate complies with the following organizational requirements:
- Attends and participates in department meetings and is accountable for all information shared.
- Completes mandatory education, annual competencies and department specific education within established timeframes.
- Completes annual employee health requirements within established timeframes.
- Maintains license/certification, registration in good standing throughout fiscal year.
- Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
- Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
- Adheres to regulatory agency requirements, survey process and compliance.
- Complies with established organization and department policies.
- Available to work overtime in addition to working additional or other shifts and schedules when required.
Education and Experience
The knowledge, skills and abilities as indicated below are normally acquired through the successful completion of a Bachelor's Degree in Business, Economics, Marketing or a related field. A minimum of three years of managed care and group insurance experience, through which a background in Medicaid, Medicare and physician contracting was gained, is required.
Knowledge & Skills
- Requires a minimum of 5 years experience with direct payer, carrier, network and value based contracting for facilities and professionals.
- Requires knowledge of data analytic processes and interpretation of financial data sets as it relates to contract negotiation, payer and value based strategy.
- Requires an in-depth knowledge and understanding of employee benefit products/plans, including health/medical, dental and workers compensation, case processing (proposal, renewal, plan design, billing, claims, etc.) and the regulatory provisions of the Health Insurance Portability & Accountability Act of 1996 (HIPAA).
- Requires well-developed knowledge and understanding of PHO, HMO, PPO and POS healthcare delivery systems.
- Requires well-developed knowledge of Value Based programs, terminology and structure for both facilities and professionals.
- Demonstrates proficiency in basic computer skills (i.e. data entry, word processing, spreadsheets and database applications).
- Requires strong skills in organization, time management, research and analysis.
- Requires an in-depth understanding of contractual language, computer systems, accounting and finance.
- Demonstrates well-developed communication skills necessary to effectively communicate both verbally and in writing and to make presentations to individuals and small and large groups.
- Demonstrates a high level of interpersonal skills in order to ensure that effective relationships are developed, maintained and managed in a professional and effective manner with medical staff members, Hospital and System management team, patients, representatives of client organizations, business leaders, various public managers, physician groups and legal counsel.
Working Conditions
- Works in an office environment.
- May be required to vary hours and days, and work on holidays, etc., depending upon the needs of the department.
Physical Demands
- Requires the physical ability and stamina to perform the essential functions of the position.
LOCATION
Location: Beacon Health System · Managed Care
SCHEDULE
Schedule: Full-time, Day, Monday - Friday 8:00 - 5:00
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Get Access To All JobsTips for Finding OPT Sponsorship as a Managed Care Coordinator
Target health systems over staffing agencies
Large hospital networks and managed care organizations like Kaiser Permanente or Anthem are more likely to sponsor H-1B visas than staffing firms. Prioritize direct-hire roles where the employer has an established immigration sponsorship history.
Frame your degree as a specialty occupation match
Managed Care Coordinator roles typically require a degree in health administration, nursing, or public health. In your application, explicitly connect your degree field to the role requirements to support the specialty occupation classification USCIS expects.
Ask about sponsorship before the final interview round
Raise the H-1B sponsorship question after an initial phone screen, not in your first message. Asking too early signals inexperience. Waiting until an offer is extended leaves no time to negotiate if the employer declines.
Highlight care coordination certifications
Credentials like the Certified Case Manager (CCM) designation signal professional commitment and can strengthen a specialty occupation argument with USCIS. Employers also view certifications as evidence you are serious about a long-term career in the field.
Understand your OPT end date before applying
Employers need enough runway to file an H-1B petition before your OPT expires. If you have less than six months remaining, prioritize employers with a track record of filing cap-subject H-1B petitions for healthcare administration roles.
Use Migrate Mate to find sponsoring employers
Migrate Mate filters Managed Care Coordinator jobs by visa sponsorship availability, saving you from applying to roles where sponsorship is off the table. Browsing verified sponsoring employers reduces wasted applications and focuses your search.
Managed Care Coordinator OPT: Frequently Asked Questions
Does a Managed Care Coordinator role qualify as a specialty occupation for H-1B purposes?
In most cases, yes. USCIS generally recognizes Managed Care Coordinator positions as specialty occupations when the employer requires a bachelor's degree or higher in health administration, nursing, public health, or a directly related field. If the employer lists only a general degree as acceptable, the classification becomes harder to support. Make sure the job description ties the degree requirement to a specific field, not just any bachelor's degree.
Can I work as a Managed Care Coordinator on OPT without a STEM extension?
Yes. OPT authorization is not limited to STEM fields. If your degree is in health administration, public health, nursing, or a related healthcare field, you can work as a Managed Care Coordinator on standard 12-month OPT. STEM OPT extension is not available for most health administration programs, so planning your H-1B timeline from day one matters. Start conversations with employers about sponsorship early in your job search.
Which types of employers are most likely to sponsor an H-1B for this role?
Large managed care organizations, integrated health systems, and insurance carriers with dedicated HR and legal teams are the most likely sponsors. Smaller clinics or regional providers may lack the infrastructure to navigate the H-1B process. Migrate Mate lists Managed Care Coordinator roles from employers with verified sponsorship history, which is the most efficient way to identify realistic targets without sifting through hundreds of postings manually.
What should I do if my OPT expires before the H-1B cap opens?
If your OPT expires between October 1 and the April filing window, you may be eligible for a cap-gap extension if your employer files your H-1B petition before your OPT ends. This automatically extends your work authorization through September 30. Confirm with your Designated School Official that your SEVIS record reflects the cap-gap status. An immigration attorney can help your employer file on time to preserve your eligibility.
How do I address OPT status with a potential employer during the hiring process?
Be straightforward but strategic. After passing an initial screen, briefly explain that you're authorized to work on OPT for 12 months and are interested in employers who can support H-1B sponsorship afterward. Framing it as a forward-looking plan rather than an immediate burden tends to land better. Employers in healthcare administration are generally familiar with the H-1B process, particularly at larger organizations that hire internationally trained professionals regularly.