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
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 47+ OPT Managed Care Coordinator Jobs
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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.