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![MEDSTAR HEALTH](https://contents.bebee.com/companies/us/medstar-health/avatar-jsXkQ.png)
Senior Contract Manager
2 months ago
General Summary of Position
Implements, monitors, and evaluates MedStar agreements with managed care payers. Participates in the negotiation of payer contracts, development of network carve-outs and global pricing arrangements, and in the assessment and communication of managed care trends. Serves as a project manager for various initiatives such as the development of managed care improvement plans, and ongoing assessment of payer satisfaction. Manages relationships with payers and assists in the coordination of managed care functions throughout MedStar.
Primary Duties and Responsibilities
Minimum Qualifications
Education
- Bachelor's degree in Finance, Business Administration, Hospital Administration or related clinical field required
- MBA, MHS or other graduate degree with a health care concentration preferred
Experience
- 3-4 years Healthcare experience required and
- 1-2 years Managed care payer experience; experience in healthcare reimbursement and CPT and ICD coding; knowledge of the clinical delivery setting, healthcare insurance, regulatory setting, and provider contracting arrangements required
Licenses and Certifications
- No special certification, registration or licensure required
Knowledge, Skills, and Abilities
- Working knowledge of spreadsheet and database software applications.
- Excellent written and oral communication skills.
- Strong analytical and problem-solving skills.
- Broad knowledge of healthcare delivery; ability to navigate and educate large systems with diverse priorities and expectations.
- Familiarity with provider networks and contractual arrangements.
- Understanding of contract terms and legal requirements, including those at the federal and state level.
- Ability to work under general to minimal supervision.
- Ability to work collaboratively with internal and external customers.
This position has a hiring range of $70,428 -
$124,467