Managed Care Contract Specialist
virtual vocationsDenver, CO
Managed Care Contract Specialist
L5
virtual vocationsDenver, COyesterday
Occupations
Financial Specialists, All OtherProject Management SpecialistsMedical Records SpecialistsIndustries
Other Management Consulting ServicesDirect Health and Medical Insurance CarriersAll Other Miscellaneous Ambulatory Health Care ServicesTo implement and maintain a managed care contracting strategy in a multi-state environment, the full-time Contract Specialist will manage contract files, negotiate with payers, and analyze reimbursement structures, with the option to work in a hybrid or remote setting.
Key responsibilities:
Manage and maintain accurate files for pending and executed managed care contracts, providing timely updates to clients
Serve as the external negotiator with payers, handling all aspects of outreach, communication, and contracting logistics
Analyze contract terms and reimbursement structures, developing actionable recommendations and presenting findings to clients
Required qualifications:
Demonstrated experience negotiating with payers or acting as a liaison between payers and providers
Familiarity with managed care contracts, reimbursement methodologies, and payer systems
Proficiency in Excel and financial modeling tools
Bachelor's degree in Healthcare Administration, Business, Finance, or a related field preferred
Strong analytical skills with the ability to interpret complex data
Apply now (opens in a new tab)
Level
SeniorL5
Location
Denver, CO
Occupation
Financial Specialists, All Other
Industry
Other Management Consulting Services
Posted
yesterday
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