Job Description

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 pre-and-post negotiation reimbursement analysis and modeling for the Managed Care Team as a whole

Qualifications

• Bachelor’s degree in business/finance/Math preferred or Equivalent work experience required
• Minimum of 3-5 years' experience contracting experience a must.
• Outpatient Therapy Experience preferred
• Knowledge & Understanding of a multi-Tax ID business model
• An understanding of contracting within closed networks
• Interprets managed care contracts and government reimbursement methodologies to create contract modeling calculation.
• Prepare pre-negotiation 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 multi-task 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.