Managed Care Contract Specialist

Job Summary

To implement and maintain a managed care contracting strategy in a multi-state environment, the full-time Contract Specialist will manage contract files, negotiate with payers, and analyze reimbursement structures, with the option to work in a hybrid or remote setting.

Key responsibilities

• Manage and maintain accurate files for pending and executed managed care contracts, providing timely updates to clients
• Serve as the external negotiator with payers, handling all aspects of outreach, communication, and contracting logistics
• Analyze contract terms and reimbursement structures, developing actionable recommendations and presenting findings to clients

Required qualifications

• Demonstrated experience negotiating with payers or acting as a liaison between payers and providers
• Familiarity with managed care contracts, reimbursement methodologies, and payer systems
• Proficiency in Excel and financial modeling tools
• Bachelor's degree in Healthcare Administration, Business, Finance, or a related field preferred
• Strong analytical skills with the ability to interpret complex data