Managed Care Contract Specialist

EyeSouth Partners•Atlanta, GA

About The Position

We are actively recruiting for a Managed Care Contract Specialist to join our growing team at EyeSouth Partners. If you wish to join a growing team with favorable benefits and perks, while contributing to a best-in-class organization, please apply with your resume The Managed Care Contract Specialist will play a key role in supporting Project IMPACT, a strategic initiative focused on optimizing payer contracts and driving incremental revenue across EyeSouth Partners’ network of ophthalmology practices and ambulatory surgery centers (ASCs). This role will directly support managed care leadership in analyzing reimbursement, preparing negotiation strategies, and executing contracting initiatives across multiple states and affiliates. The ideal candidate is analytical, detail-oriented, and comfortable working in a fast-paced, data-driven environment with direct visibility to executive leadership.

Requirements

Bachelor’s degree in Business, Healthcare Administration, Finance, or related field
2–5 years of experience in managed care, Payer contracting, healthcare finance, or revenue cycle
Foundational understanding of healthcare reimbursement models including Medicare and commercial payers
Strong analytical skills with advanced proficiency in Excel (financial modeling, data analysis, pivot tables)
Ability to interpret and analyze fee schedules, contracts, and reimbursement terms
Highly organized with strong attention to detail and ability to manage multiple projects simultaneously
Strong communication skills with the ability to interface with internal leadership and external stakeholders
Experience supporting multi-site or multi-state healthcare organizations preferred
Familiarity with ASC and physician group reimbursement structures preferred
Experience working with national and regional payers such as UnitedHealthcare, Aetna, Cigna, Blue Cross Blue Shield, Humana, and United Healthcare preferred
Exposure to contract negotiations or payer strategy development preferred
Familiarity with contract management systems and payer portals (e.g., Availity) preferred
Knowledge of claims adjudication, denial management, and payer policies preferred

Responsibilities

Support execution of Project IMPACT initiatives, including payer renegotiations across physician groups and ASCs
Analyze reimbursement methodologies including % of Medicare, ASC fee schedules, case rates, and payer-specific carve-outs
Maintain financial models to quantify incremental revenue opportunities (e.g., rate increases, escalators, new contracts)
Assist in preparing payer negotiation materials, including rate comparisons, market benchmarks, and review of price transparency
Track and report incremental revenue impact by affiliate, payer, and contract (multi-year projections)
Lead and support the implementation and ongoing maintenance of the contract management system, Rivet, including:
Uploading and organizing all payer agreements, amendments, and fee schedules
Maintenance of enterprise Chargemaster for all EyeSouth affiliates
Ensuring data integrity and standardization across affiliates
Partnering with internal teams and vendors to optimize system functionality and reporting capabilities
Support onboarding of newly acquired affiliates into EyeSouth’s managed care strategy and Rivet platform integration
Partner with revenue cycle teams to identify underpayments, denial trends, and contract compliance issues
Coordinate with external consulting partners to support negotiation strategy and analytics
Monitor contract renewal timelines and proactively identify renegotiation or termination opportunities
Assist in managing payer relationships including communications, issue resolution, and data requests
Assist internal reporting for leadership highlighting key wins, contract status, and financial performance