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Healthcare Contracting Manager
3 weeks ago
The Manager of Managed Care Contracts will be responsible for:
- Crafting, evaluating, negotiating, and executing contracts covering various transactions for hospital and physician entities.
- Creating and maintaining relationships with external stakeholders (payers) and internal stakeholders (billing, finance, legal, physicians, administration).
- Maintaining records for correspondence and documentation in relation to established contracts and those in progress.
- Communicating and presenting information to stakeholders about all contract-related matters.
- Monitoring contracts to move forward with close-out, extension or renewal according to what's best for the company.
You will also solve any contract-related problems that may arise with other parties and internally with the company itself, including tracking and monitoring data as it relates to outstanding settlements/projects for payer payment issues.
Additionally, you will manage and maintain reporting regarding payor trends, contract compliance and contract modeling either through Epic, Strata or other reporting source. Epic certification may be required.
