Contract Negotiator - Managed Care/Healthcare Financial Services

Cone Health • Greensboro, NC

393d

About The Position

The Contract Negotiator is responsible for planning and directing managed care operational practices, which includes analyzing, developing strategies, negotiating, and maintaining system-wide Managed Care agreements. This role focuses on establishing and maintaining relationships with managed care payers and internal stakeholders, producing reports on contract performance, and resolving contractual and operational issues to enhance managed care contract performance. The position requires monitoring political, legal, and regulatory trends related to managed care under general supervision.

Requirements

• Bachelor's Degree
• 4 years of negotiation experience in managed care or a related field (such as healthcare finance or patient financial services) with a healthcare provider or insurer/payer.

Responsibilities

• Leads all aspects of negotiations for facility, physician, and network managed care agreements under general supervision from management.
• Coordinates, analyzes, and develops all financial and operational aspects of contract proposals, including drafting and redlining agreements and amendments.
• Develops a negotiation strategy for each managed care payer, assessing the strengths of each party in the negotiation.
• Evaluates and enforces contract compliance.
• Prepares correspondence to managed care payers.
• Owns the contract management process, including loading contracts into the management system and preparing summaries outlining contract terms for internal stakeholders.
• Establishes and maintains relationships with managed care payers.
• Acts as a professional resource to answer all contractual questions and facilitate issue resolution with internal and external stakeholders.
• Assists with the development and maintenance of reports used to track contracting activity and report outcomes.
• Performs other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree