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Contract Services Manager

2 months ago

Fremont, California, United States Washington Hospital Full time
Job Summary

The Senior Contract Manager is responsible for the administration, review, and financial analysis of managed care contracts for the healthcare system. This role involves assisting with managed care claim, payment, and physician issues, as well as negotiating rates with payors and performing financial impact reports.

Key Responsibilities
  • Initial reading and financial analysis of managed care contracts for content, administrative issues, and financial return.
  • Evaluate financial performance of existing contractual relationships and monitor performance of new contractual relationships.
  • Prepare historical and financial data to support contract negotiations and renewals.
  • Negotiate rates with payors on a consistent renewal cycle and on a case-by-case basis.
  • Ensure accuracy and completeness of all projects, information, and analysis.
Requirements
  • Bachelor's degree required; Master's preferred.
  • Experience related to financial analysis within a healthcare environment or equivalent coursework.
  • Experience in an administratively responsible position with significant intra-department work.
  • Knowledge of legal terminology, understanding of governmental and legislative regulations.
  • Previous experience in managed care/finance/or patient accounting.
  • Demonstrated ability to perform financial analysis, including modeling.
Company Overview

Washington Hospital is a leading healthcare provider dedicated to delivering high-quality patient care and services. Our team is committed to excellence and innovation in the healthcare industry.