Managed Care Contract Specialist

This is a fully remote position, open to applicants in Louisiana.

📋 Description

• Lead and manage all phases of the payor contract management cycle, ensuring timely execution and compliance with organizational standards.

• Initiate and drive contract negotiations to secure advantageous payment rates and terms.

• Oversee contract documentation, monitor changes, and gather input from relevant stakeholders.

• Negotiate agreements for individual patients to enhance reimbursement outcomes.

• Conduct high-level decision support analyses, financial modeling, and prepare reports for payor negotiations, claim issue resolutions, and ad hoc requests.

• Analyze healthcare trends to pinpoint opportunities for operational improvements and contract optimization.

• Effectively communicate complex issues and positively represent the organization.

• Provide precise and timely contract management deliverables.

• Identify and collaborate on ongoing enhancements to contract management processes and terms.

• Perform additional job-related tasks as assigned.

⛳️ Requirements

• 3-4 years of relevant experience required.

• Bachelor's Degree in Business, Finance, Healthcare Administration, or a related field.

• Strong attention to detail.

• Financial acumen.

• Effective communication skills.

• Knowledge of healthcare reimbursement.

• Experience in managed care contract negotiation.

🏝️ Benefits

• A collaborative and supportive work environment.

• Opportunities for professional growth and development.

• Competitive salary and comprehensive benefits package.