We are seeking a candidate that is a highly motivated autonomous individual who has a positive attitude to join our company as a Contract Manager/Analyst. This is a dual role that will support the Managed Care Operations Team. The person in this role should have experience in Managed Care WC Replacements & Auto lines of business. They will work directly with payors to negotiate key payor contracts for the organization and must be knowledgeable of regulatory private federal and state guidelines. In addition this role will support preandpost negotiation reimbursement analysis and modeling for the Managed Care Team as a whole
Qualifications :
- Bachelors degree in business/finance/Math preferred or Equivalent work experience required
- Minimum of 35 years experience contracting experience a must.
- Outpatient Therapy Experience preferred
- Knowledge & Understanding of a multiTax ID business model
- An understanding of contracting within closed networks
- Interprets managed care contracts and government reimbursement methodologies to create contract modeling calculation.
- Prepare prenegotiation analysis to support development of negotiation strategies
- Define develop and execute modeling and analysis for new and updated fee schedules and contracts
- Query EMR and Practice Management Systems to obtain data needed for accurate analysis
- Advanced MS Excel MS Access & credentialing software experience a plus
- Effective project management skills
- Critical analytical thinking problem solving organization and time management skills with strong attention to details. can multitask to very unusual levels
- Excellent administrative analytical organizational verbal and written communication and presentation skills are required
Additional Information :
- Competitive compensation
- Excellent benefits package including 401k health dental and generous paid time off
- Multiple opportunities for professional development specialization and leadership
- Employee discount plans
- Employee Assistance Program (EAP)
- Investment from a company that wants you to succeed and thrive
All your information will be kept confidential according to EEO guidelines.
Remote Work :
Yes
Employment Type :
Fulltime