Base: $50.88 - $83.84 ph; bonus/equity: not specif...
Managed care reporting and underpayment analysis
Contract negotiation and sca administration
Payor policy interpretation and reimbursement modeling
This role supports the Managed Care Department in contract negotiations, compliance, and reimbursement analysis while collaborating with key stakeholders on payor policies
Job Summary
This role supports the Managed Care Department in contract negotiations, compliance, and reimbursement analysis while collaborating with key stakeholders on payor policies.
The incumbent manages all aspects of Managed Care related reporting including underpayments, reimbursement analysis, and modeling for contract performance.
Employees must adhere to HIPAA regulations and company ethical standards regarding the protection of confidential customer information.
Matching Summary
This role supports the Managed Care Department in contract negotiations, compliance, and reimbursement analysis while collaborating with key stakeholders on payor policies.
Salary
Base: $50.88 - $83.84 per hour; Bonus/Equity: Not specified; Benefits: Not specified
Skills & Requirements
Must-have
Managed Care reporting and underpayment analysis
Contract negotiation and SCA administration
Payor policy interpretation and reimbursement modeling
Staff hiring, coaching, and performance management
Contract management system maintenance
Nice-to-have
Strong critical thinking and problem-solving skills
Process improvement for accuracy and efficiencies
Reliable customer service and communication skills
Key Requirements
Minimum Bachelor's degree in Finance, Business, or Healthcare Administration
5 years in Health Care Provider or Insurance experience