Managed Care Contract Specialist

This position works in collaboration with the Vice President of Contracting and Senior Director of Payor Relations to assist with all aspects of managed care operations including contract negotiation, contract payment modeling, and contract implementation. This position acts as a liaison between Payor Relations and other internal and external entities to create seamless operational managed care performance along with maximizing payor contracting terms. The individual will be responsible for high-level, sophisticated reporting, modeling, and analyses using both hospital and professional claims data. This employee adeptly collaborates with management, operations, and administrative support teams to efficiently undertake the necessary steps crucial for successful contract negotiations. This position will make sure that negotiations are handled efficiently to meet important deadlines and remain within approved financial parameters.

Originally posted on Himalayas