Contract Revenue Manager, North Central

Waltham, MA - USA

Monthly Salary: $ 72000 - 121000

Posted on: 21 hours ago

Vacancies: 1 Vacancy

Job Summary

Travel less than 10%

PURPOSE AND SCOPE:

The Contracted Revenue Manager is responsible for overseeing all aspects of contracted revenue within assigned Group(s). This includes the ongoing monitoring analysis and evaluation of financial and contractual components as well as detailed tracking and follow-up of all contracted revenue. The role ensures accuracy compliance and operational alignment across payer agreements and revenue processes.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Ensure timely and accurate communication of executed payer agreements to Operations leadership and Revenue Centers.
Oversee compliance with data collection auditing and contract implementation requirements including monitoring performance of new contracts.
Audit revenue recognition to validate alignment with thirdparty payer contract terms.
Track contract escalators and ensure timely notifications to payors; coordinate billing system updates accordingly.
Support budgetary reviews involving financial changes to existing or future payer agreements.
Perform various financial analyses to assist with contract proposals contract terminations payor consolidation including analysis of Standard Carrier claims data obtained using current financial data systems analysis of medication utilization for global contracts and analysis of rate structure conversion.
Develop and deliver analytical reports supporting managed care initiatives on a monthly or adhoc basis.
Review of billing accuracy to ensure that projected revenue is being realized.
Maintain accurate and uptodate contract data within the contract management system including timely submission of contract changes to Revenue Cycle Systems.
Coordinate with payers to ensure facility additions ownership changes closures and relocations are accurately reflected in payer systems and agreements.
Assist the credentialing department by securing necessary documentation to support timely payer application submissions.
Analyze network data to support market growth initiatives.
Conduct competitive analyses of individual markets and competitor provider activity.
Collaborate with team members to establish and refine best practices and operational processes.
Demonstrate technical proficiency and a strong understanding of departmental operations industry standards and current business trends.
Work on issues of diverse scope requiring evaluation of multiple data points and business variables.
Execute tactical plans and manage assigned programs or projects often with significant process ownership.
Technically proficient in the specific department and knowledge of industry practice and business principles. Works on issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors including an understanding of current business trends.
Make decisions that directly influence work processes and outcomes; inaccurate decisions may affect organizational costs and shortterm objectives.
Engage frequently with supervisors internal stakeholders customers and crossfunctional teams often involving interdepartmental matters or customer issues.
Participate in internal and external meetings and provide technical guidance as needed.
Assist with additional projects and perform other duties as assigned.
Adhere to the Code of Business Conduct and all applicable corporate policies as well as local state and federal regulations.

Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

SUPERVISION:

May be responsible for the direct supervision of various levels of department staff.

EDUCATION:

Bachelors Degree required Advanced Degree desirable.

EXPERIENCE AND REQUIRED SKILLS:

5-8 years related experience; or a Masters degree with 3 years experience; or a PhD without experience; or equivalent directly related work experience.
3 years supervisory or project/program management experience preferred.
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 skill to effectively communicate with all levels of management.

The rate of pay for this position will depend on the successful candidates work location and qualifications including relevant education work experience skills and competencies.

Annual Rate: $72000.00 - $121000.00

Benefit Overview: This position offers a comprehensive benefits package including medical dental and vision insurance a 401(k) with company match paid time off parental leave and potential for performance-based bonuses depending on company and individual performance.

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race color religion sexual orientation gender identity parental status national origin age disability military service or other non-merit-based factors

Required Experience:

Manager

Travel less than 10%PURPOSE AND SCOPE:The Contracted Revenue Manager is responsible for overseeing all aspects of contracted revenue within assigned Group(s). This includes the ongoing monitoring analysis and evaluation of financial and contractual components as well as detailed tracking and follow-...