Senior Contract Manager - Managed Care

Cleveland Clinic Health System

Ohio, US
Not specified; not specified; not specified
**
Managed care contracting experience
Fee for service and value based negotiations
Commercial medicaid medicare advantage marketplace plans
** The Cleveland Clinic Health System is seeking a Senior Contract Manager for Managed Care, offering a fully remote position with the requirement to meet annually in Cleveland. The role involves contract negotiations, evaluating new business opportunities, and managing the financial and operational aspects of contracts within the healthcare sector. **

Job Summary

  • The Senior Contract Manager will negotiate contracts on behalf of Cleveland Clinic within an assigned business area while evaluating new business opportunities.
  • Candidates must possess a strong background in managed care contracting with health systems including hospital, professional, and ancillary services.
  • This role requires the ability to assess legal risk, develop contract language, and serve as the principal contact for third-party payers and internal clients.

Matching Summary

Match Score: 75

** The Cleveland Clinic Health System is seeking a Senior Contract Manager for Managed Care, offering a fully remote position with the requirement to meet annually in Cleveland. The role involves contract negotiations, evaluating new business opportunities, and managing the financial and operational aspects of contracts within the healthcare sector. **

Salary

Not specified; Not specified; Not specified

Skills & Requirements

Must-have

  • Managed care contracting experience
  • Fee for Service and Value Based negotiations
  • Commercial Medicaid Medicare Advantage Marketplace plans
  • Revenue Cycle and Managed Care Business Operations knowledge
  • Claims payment methodologies and operations

Nice-to-have

  • Strategic contracting experience
  • Transplant and high-cost drug negotiations
  • CPA or CMA certification
  • Master's Degree in related field
  • Relationship building with third-party payers

Key Requirements

  • Bachelor's Degree in healthcare finance marketing or related field
  • Five years of experience in contract management
  • Experience across multiple service lines such as heart vascular transplant
  • High School Diploma/GED with nine years of related experience

Work Rights

Must reside in Ohio, Florida or Nevada

Tailored Resume

Cover Letter