Managed Care Specialist

Job Summary

To support managed care operations, the full-time Managed Care Specialist will manage contract administration, maintain knowledge of payor contracts, and facilitate communication regarding contract changes, all while working remotely.

Key responsibilities

• Manages administration of the assigned portion of the contract portfolio and oversees compliance with managed care contracts
• Creates and maintains an electronic document database for all MCO contracts and communicates contract terms to relevant personnel
• Monitors operational issues related to managed care contracts and coordinates meetings for issue resolution and performance improvement

Required qualifications

• Associate's degree or equivalent experience required
• Minimum two years of experience in managed care contracting, operations, or patient financial services
• Experience preparing and processing formal business correspondence and contract notifications
• Strong research and analytical skills to identify discrepancies and follow issues through resolution
• Ability to manage multiple projects and deadlines effectively