Managed Care Contracting Specialist

3 days ago


Owings Mills, Maryland, United States LifeBridge Health Full time
Job Summary:

We are seeking a seasoned Managed Care Contracting Specialist to provide experienced contracting negotiation skills and subsequent implementation and ongoing operational support for LifeBridge Health entities.

Key Responsibilities:
  • Provides project support and acts as an internal liaison and resource for LBH staff and physicians, in addition to acting as an external liaison with payer representatives for resolution of operational and contractual issues.
  • Leads and negotiates all provider types, such as Ambulatory Surgery, Hospice, Home Health, Physicians, Skilled Nursing, Urgent Care and other ancillary services as needed.
  • Develops and implements strategic plans to achieve business objectives.
  • Builds and maintains collaborative relationships internally and externally.
  • Stays up-to-date on market/insurance landscape, including Commercial (HMO/ASO/EPO/PPO), Medicaid and Medicare Advantage.
Requirements:
  • 5-7 years of experience in payer negotiation, including financial analysis and contract language.
  • Advanced Excel skills.
  • Ability to multitask and prioritize tasks effectively.
  • Seasoned professional knowledge, equivalent to a Master's degree, with knowledge in more than one discipline.

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