Managed Care Coordinator Jobs for OPT Students
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 sponsorship after OPT. STEM OPT extension is not typically available for this role.
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Get Access To All JobsINTRODUCTION
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Manager Care Coordinator initiates and process managed care insurance referral requests for patients of BILH Primary Care Practices, while maintaining a strong focus on patient-centered care, timeliness, quality, and accuracy. Adhere to the organization's Revenue Cycle Referral Management policy and meet targets regarding expected standard turnaround time goals as set by the practice. Facilitate discussions with patients to educate them regarding care coordination and redirect care within the BILH network.
ROLE AND RESPONSIBILITIES
The Managed Care Coordinator's Responsibilities are:
- Work collaboratively with BILH PCPs, patients and practice support staff to coordinate, and process all specialty care managed care referral authorization requests in compliance with BILHPN and BILH Hospitals contractual rules and agreements for multiple managed care insurance payers. Utilize electronic technologies to initiate, issue, and administratively sign off on a high volume of referrals.
- Learn and remain proficient on multiple electronic technologies used by the BILH practices and BILH Hospitals to initiate referral requests in an efficient and timely manner. Technologies will include but are not limited to (POS) Point of Service Device, Health Wire Network, Aetna WebMD, NEHEN, HPHC Connect, and other computer and web-based technology, Navinet and NIA.
- Serve as a daily point of contact and as an organizational resource for BILH patients, families, specialty practices, physicians and support staff on BILH managed care related issues. Communicate to the specialist and/or patient the level of care, number of visits being authorized (e.g. one consult only vs. a consult and treatment), and the extent of the diagnostic testing being authorized.
- Communicate with managed care payers to resolve patient referral management issues; coordinate with Patient Accounts, and other internal and external customers to resolve patient billing problems. Help provide referral management training to new hires. Work with extremely sensitive and highly confidential patient information and adhere to policy of maintaining patient confidentiality.
- Maintain current knowledge base of referral and authorization plan rules and policies for multiple managed care payers and multiple specialties and ancillary/diagnostic testing as they apply to issuing PCP approvals. Work closely with patients and PCP's to refer patients with complex referral needs and complicated problems or situations to the case management at the insurance companies.
- Retrieve patient referral requests through venues such as Clinical Computing, Patient Site, OMR notes, e-mails from Primary Care Physicians, nurse triage, and voice mails from patients; follow up appropriately with processing the referrals and promptly communicating the information back to the patient and/or specialty office.
- Communicate with managed care payers to resolve patient referral management issues; coordinate with Patient Accounts, HMFP, the Financial Assistance Office, and other internal and external customers to serve as a resource person to resolve patient billing problems.
- Collaborate with the entire team, in regard to servicing new patients' referral management related issues and questions.
BASIC QUALIFICATIONS
- High School diploma or GED required.
- License Medical Admin Assistant Cert preferred.
- 1-3 years related work experience required.
- Experience with computer systems required, including web-based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.
COMPENSATION
- Pay Range: $22.50 - $30.00
The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.
Equal Opportunity Employer/Veterans/Disabled
INTRODUCTION
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Manager Care Coordinator initiates and process managed care insurance referral requests for patients of BILH Primary Care Practices, while maintaining a strong focus on patient-centered care, timeliness, quality, and accuracy. Adhere to the organization's Revenue Cycle Referral Management policy and meet targets regarding expected standard turnaround time goals as set by the practice. Facilitate discussions with patients to educate them regarding care coordination and redirect care within the BILH network.
ROLE AND RESPONSIBILITIES
The Managed Care Coordinator's Responsibilities are:
- Work collaboratively with BILH PCPs, patients and practice support staff to coordinate, and process all specialty care managed care referral authorization requests in compliance with BILHPN and BILH Hospitals contractual rules and agreements for multiple managed care insurance payers. Utilize electronic technologies to initiate, issue, and administratively sign off on a high volume of referrals.
- Learn and remain proficient on multiple electronic technologies used by the BILH practices and BILH Hospitals to initiate referral requests in an efficient and timely manner. Technologies will include but are not limited to (POS) Point of Service Device, Health Wire Network, Aetna WebMD, NEHEN, HPHC Connect, and other computer and web-based technology, Navinet and NIA.
- Serve as a daily point of contact and as an organizational resource for BILH patients, families, specialty practices, physicians and support staff on BILH managed care related issues. Communicate to the specialist and/or patient the level of care, number of visits being authorized (e.g. one consult only vs. a consult and treatment), and the extent of the diagnostic testing being authorized.
- Communicate with managed care payers to resolve patient referral management issues; coordinate with Patient Accounts, and other internal and external customers to resolve patient billing problems. Help provide referral management training to new hires. Work with extremely sensitive and highly confidential patient information and adhere to policy of maintaining patient confidentiality.
- Maintain current knowledge base of referral and authorization plan rules and policies for multiple managed care payers and multiple specialties and ancillary/diagnostic testing as they apply to issuing PCP approvals. Work closely with patients and PCP's to refer patients with complex referral needs and complicated problems or situations to the case management at the insurance companies.
- Retrieve patient referral requests through venues such as Clinical Computing, Patient Site, OMR notes, e-mails from Primary Care Physicians, nurse triage, and voice mails from patients; follow up appropriately with processing the referrals and promptly communicating the information back to the patient and/or specialty office.
- Communicate with managed care payers to resolve patient referral management issues; coordinate with Patient Accounts, HMFP, the Financial Assistance Office, and other internal and external customers to serve as a resource person to resolve patient billing problems.
- Collaborate with the entire team, in regard to servicing new patients' referral management related issues and questions.
BASIC QUALIFICATIONS
- High School diploma or GED required.
- License Medical Admin Assistant Cert preferred.
- 1-3 years related work experience required.
- Experience with computer systems required, including web-based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.
COMPENSATION
- Pay Range: $22.50 - $30.00
The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.
Equal Opportunity Employer/Veterans/Disabled
How to Get Visa 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.
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.
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Get Access To All JobsFrequently 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.
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