Manager, Contract Management

Med-Metrix • Parsippany-Troy Hills, NJ

6d

About The Position

The Manager, Contract Management ensures that contract provisions are loaded, validated and maintained accurately by overseeing the daily operations of the department.

Requirements

• Bachelor Degree preferred
• Minimum 5 years work experience with 3+ years of financial analysis or contract management experience
• Ability to interpret managed care contracts
• Must have government reimbursement understanding
• Advanced Excel knowledge
• Ability to thrive in a fast paced and dynamic work environment
• Excellent communication and presentation skills

Nice To Haves

• Revenue cycle management experience is preferred

Responsibilities

• Oversees Managed Care Department for all the day to day operations
• Assists in the training of all staff both on the hospital side and Physician side
• Manages all internal and external customer support tickets for the Contract Management Department
• Manages staff for all contract loads and validations
• Assists AVP in the implementation of all new clients
• Communicates all contract changes made by the department to key departments. ex: AR valuation, AR Services, etc.
• Assists in the research for all new state government plans for new implementations
• Responsible for downloading and distributing all contracts we have access to retrieve from our clients Managed Care sites
• Pulls all government factors for pricing Medicare/Medicaid for all clients and distributes to be loaded and validated
• Responsible to maintain all contracts and fee schedules for both the Hospital side and Physician Billing side of the company
• Key communicator between Underpayment Group and CM to ensure all questions are addressed so UP team goes after valid underpayments
• Assists in validating new client data to ensure pricing is accurate
• Assists AVP of Managed Care in all special projects for both internal and external clients
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 1,001-5,000 employees