Sr. Contract Manager

Fresenius Medical Care•Franklin, TN

About The Position

The Sr. Contract Manager manages the managed care contracted revenue function for assigned groups by monitoring, analyzing, and evaluating financial and marketing data and tracking contracted revenue. The role communicates payer agreements to Operations Management and Revenue Cycle teams, ensures contract implementation and performance monitoring, audits billing systems, supports budgetary reviews, and leads payer negotiations under the direction of the Managed Care Director. The position performs financial and network analyses, maintains analytical reports and contract management records, tracks facility and payer demographic changes, and supports credentialing. It also drives projects aligned with Managed Care goals, including audits and employee training. The role may manage staff and operational objectives, provide coaching and performance guidance, promote compliance with company policies and applicable laws, and coordinate with internal departments and external customers. Additional responsibilities may focus on particular departments or locations.

Requirements

Bachelor’s degree required.
6–8 years of related experience, or a master’s degree with 3 years of experience, or a PhD without experience, or equivalent directly related work experience.
Working knowledge of Generally Accepted Accounting Principles (GAAP).
Strong computer skills, with demonstrated proficiency in word processing, spreadsheet, database, and email applications.
Detail-oriented with strong analytical and organizational skills.
Strong oral and written communication skills to communicate effectively with all levels of management.

Nice To Haves

Advanced degree desirable.
3+ years of supervisory or project/program management experience preferred.

Responsibilities

Communicate executed managed care payer agreements to Operations Management and Revenue Cycle teams to ensure timely and accurate dissemination.
Ensure compliance with data collection, auditing activities, contract implementation analysis, and new contract performance monitoring.
Audit billing systems to verify third-party payer contract accuracy, track contract escalators, notify payors, and update billing systems.
Support budgetary reviews for financial changes to existing and future agreements, potentially covering additional operationally defined markets.
Lead payer negotiations under the Managed Care Director’s direction, including rate proposals and contract language discussions.
Drive projects and initiatives aligned with Managed Care goals, including internal audits of the contract management system and employee training.
Perform financial analyses supporting contract proposals, terminations, and payor consolidation, including claims data, medication utilization, and rate structure conversion analysis.
Maintain and produce analytical reports supporting managed care efforts and ensure timely updates to contract management and Revenue Cycle Systems.
Track and monitor facility changes with payors and assist credentialing in obtaining documentation and maintaining payer demographic verifications.
Analyze network data for growth and competitive analysis, and mentor staff as applicable.
Manage tactical execution of objectives, including cost management, methods, staffing, and leadership, coaching, and development plans for direct reports.
Ensure compliance with company policies, procedures, and relevant laws, and establish internal systems that promote team compliance.
Participate in and lead meetings, problem resolution, and coordination across internal departments and external customers.
Advise subordinates, manage employee performance, and provide technical guidance.
Assist with assigned projects and other duties as needed.