Managed Care Contract Specialist (Remote, On-Site or Hybrid)

As a Managed Care Contract Specialist, you will be responsible for evaluating, analyzing, negotiating, implementing, and monitoring contract rates and terms. Contract types may include hospital, professional, FQHC, and value-based for Medicare, Medicaid, and Commercial payers.

JOB QUALIFICATIONS:

Education or equivalency:

• Requires High School Diploma . 
• Prefers Bachelor’s Degree in Healthcare Administration, Business, or a related field.

Experience:

• 3 years of healthcare experience with a focus in contract administration and negotiation, strong analytical skills for evaluating financial models, an understanding of standard and innovative contract and reimbursement methodologies, including service fee, pay for performance, bundled payments.            

Specialized training:

• None

Certification/licensure:

• None

Knowledge, Skills, and Abilities:

• Knowledge of standard Medicare, Medicaid, and commercial is required. 
• Knowledge of value-based contracting and reimbursement is preferred. 
• Proficiency in MS (EXCEL, WORD, PowerPoint) products is required