Manager Managed Care Contracting
About The Position
The Manager Managed Care Contracting is responsible for negotiating managed care contracts with payers and maintaining payer relationships for the health system. They are responsible for monitoring and evaluating managed care contracts, performance, and reimbursement rates to identify areas for improvement. The Manager Managed Care Contracting will collaborate with finance, legal, compliance, and operations teams to ensure contracts meet regulatory requirements and organizational standards. They will stay abreast of changes in healthcare reimbursement, regulatory requirements, and industry’s best practices. The Manager prepares accurate and comprehensive reports that present data and conclusions in a meaningful and concise format. Financial and statistical reporting may include trending analysis and projections, competitive/comparative studies, regulatory analysis and financial impact reports. The Manager acts as an internal financial and strategic consultant to management and provides support to new businesses and services as needed. This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and demonstrating a commitment to teamwork and cooperation.
Requirements
- Bachelor’s Degree required
- Minimum of 2-3 years’ experience in healthcare finance
- Well-developed computer skills required to effectively manipulate data and reports
- Excellent analytical and communication abilities required
- Ability to work collaboratively across clinical, operational, and financial teams
Nice To Haves
- Preferred experience in managed care contracting or revenue cycle
Responsibilities
- Negotiating managed care contracts with payers
- Maintaining payer relationships for the health system
- Monitoring and evaluating managed care contracts, performance, and reimbursement rates to identify areas for improvement
- Collaborating with finance, legal, compliance, and operations teams to ensure contracts meet regulatory requirements and organizational standards
- Staying abreast of changes in healthcare reimbursement, regulatory requirements, and industry’s best practices
- Preparing accurate and comprehensive reports that present data and conclusions in a meaningful and concise format
- Providing financial and statistical reporting, which may include trending analysis and projections, competitive/comparative studies, regulatory analysis and financial impact reports
- Acting as an internal financial and strategic consultant to management
- Providing support to new businesses and services as needed
- Providing quality customer service
- Participating in performance improvement efforts
- Demonstrating a commitment to teamwork and cooperation
Benefits
- Generous Paid Time Off (PTO)
- Medical, Prescription Drug, Dental & Vision Insurance
- Retirement Plans with employer contributions
- Short-Term & Long-Term Disability Coverage
- Life & Accidental Death & Dismemberment Insurance
- Tuition Reimbursement to support your educational goals
- Flexible Spending Accounts (FSAs) for healthcare and dependent care
- Wellness Programs to help you thrive
- Voluntary Benefits, including Pet Insurance and more
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Number of Employees
1-10 employees
