Managed Care Contract Specialist

3 weeks ago


Houston, Texas, United States All-N-1 Staffing Full time
About the Job

As a Managed Care Contract Specialist at All-N-1 Staffing, you will play a crucial role in building, loading, testing, and maintaining hospital third-party payer contracts in our contract modeling system. Your analytical skills and attention to detail will be essential in analyzing relevant data and translating it into reporting to support necessary determinations of adjustment to ensure maximization of values for contract negotiation purposes.

Key Responsibilities
  • Accurately load, test, and maintain executed hospital contracts in the contract modeling system.
  • Perform prospective modeling of proposed contracts, rate structure/value scenarios, and other changes impacting reimbursement to support payer negotiations.
  • Analyze and determine the financial impact of government and commercial fee schedule/reimbursement changes to develop proposed adjustments to support negotiations.
  • Load and maintain hospital contract reimbursement and terms in an internal database for applicable user and vendor accessibility.
  • Generate standard and ad-hoc reporting to allow for critical decision-making specific to hospital reimbursement and associated impacts.
  • Support Managed Care Contract Administrators with identification of opportunities, risks, errors, etc. in payer reimbursement proposals and counter-proposals for comprehensive value review and accuracy.
  • Serve as a Subject Matter Expert in conjunction with the Managed Care Contract Administrator relevant to facility and/or professional contract reimbursement.
  • Collaborate with the Revenue Cycle, Finance, Government Reporting, and various other internal stakeholder departments to address contract variances, discrepancies, and contribute as appropriate in other third-party payer contract reimbursement-related projects.
  • Work collaboratively with external System vendors regarding contract audit activities and various third-party payer reimbursement-related matters.
  • Identify potential process improvement opportunities, initiating projects to improve internal operations.
  • Ensure safe care to patients, staff, and visitors; adhere to all Memorial Hermann System policies, procedures, and standards within budgetary specifications including time management, supply management, productivity, and quality of service.
  • Promote individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; support department-based goals which contribute to the success of the organization; serve as preceptor, mentor, and resource to less experienced staff.
  • Demonstrate commitment to caring for every member of our community by creating compassionate and personalized experiences. Model Memorial Hermann's service standards by providing safe, caring, personalized, and efficient experiences to patients and our workforce.
Requirements
  • Three (3) years experience in hospital contract modeling required (preferably in Payment Integrity Compass (PIC) or Epic).
  • Effective oral and written communication skills.
  • Ability to analyze, problem solve, and apply critical thinking in a fast-paced environment.
  • Strong organizational skills with the competency to work independently as well as part of a team, and prioritize responsibilities.
  • Must possess proficient Excel skills (i.e. pivots, v-lookup functions).
Preferred Qualifications
  • Bachelor's degree in Business Administration, Finance, or Accounting preferred.
  • Licenses/Certifications: Required to complete training and become certified in the applicable EPIC applications within the first 90 days of employment to include Resolute Hospital Billing Expected Reimbursement Contracts Administration.


  • Houston, Texas, United States Benefits & Care Insurance Brokers Full time

    Contracting SpecialistThe Contracting Specialist plays a pivotal role in ensuring seamless contracting operations at Benefits & Care Insurance Brokers. This key position is responsible for facilitating the end-to-end process of onboarding new agents and agencies, guaranteeing that all documentation and agreements are properly completed, submitted, and...


  • Houston, Texas, United States Fluor Full time

    Job Title: Contract Management SpecialistAt Fluor, we are committed to delivering safe, well-executed, and capital-efficient engineering, procurement, and construction (EPC) projects to clients globally. As a Contract Management Specialist, you will play a critical role in ensuring compliance with all statutes, regulations, and contract terms and...


  • Houston, Texas, United States Benefits & Care Insurance Brokers Full time

    The Contracting Specialist plays a pivotal role in Benefits & Care Insurance Brokers, overseeing the end-to-end process of onboarding new agents and agencies. This involves ensuring all documentation and agreements are properly completed, submitted, and processed according to regulatory and company guidelines.Key Responsibilities:Agent Onboarding: Facilitate...

  • Contract Specialist

    3 weeks ago


    Houston, Texas, United States The Reserves Network Full time

    Contract Specialist Job DescriptionWe are seeking a highly skilled Contract Specialist to join our team at The Reserves Network. As a Contract Specialist, you will play a critical role in managing contracts and ensuring seamless business operations.Key Responsibilities:Develop and implement a district-wide contract tracking and management system using...

  • Contract Specialist

    1 month ago


    Houston, Texas, United States The Reserves Network Full time

    Job Title: Contracts SpecialistWe are seeking a highly skilled Contracts Specialist to join our team at The Reserves Network. As a key member of our team, you will be responsible for managing customer contracts and working closely with Marketing, Legal, and management to ensure timely submission to clients or RFPs.Key Responsibilities:Manage multiple...

  • Contract Specialist

    3 weeks ago


    Houston, Texas, United States The Reserves Network Full time

    Contract Management OpportunityJob Summary:We are seeking a skilled Contract Specialist to join our team at The Reserves Network. As a Contract Specialist, you will act as a liaison between departments to initiate renewal actions on current contracts, memorandums of agreement, inter-local agreements, and/or licensing agreements under the supervision of...

  • Contract Specialist

    1 month ago


    Houston, Texas, United States The Reserves Network Full time

    Job DescriptionJob Title: Contracts SpecialistJob Type: Temporary 3 to 5 monthsLocation: HybridShift: Monday – Friday from 8 to 5Salary Rate: $37.00 to 40.00 hourThe Contracts Specialist is a self-motivated individual who thrives in a fast-paced environment and excels under pressure. This role is responsible for managing the business aspects of customer...

  • Contract Specialist

    3 weeks ago


    Houston, Texas, United States The Reserves Network Full time

    Job OverviewThe Contracts Specialist is a key role within our organization, responsible for managing the business aspects of customer contracts. This position requires a strong understanding of contract management principles and the ability to work closely with various stakeholders, including Marketing, Legal, and management.Key ResponsibilitiesManage...

  • Contract Specialist

    2 weeks ago


    Houston, Texas, United States Anotech Full time

    Anotech, a leading engineering consulting company, is seeking a skilled Contract Specialist to support its expanding operations in Cote d'Ivoire.The successful candidate will serve as an internal resource and external contact for management and administration of Cote d'Ivoire contracts, providing contracts advice and support to upstream divisions and...

  • Contract Specialist

    2 weeks ago


    Houston, Texas, United States Cenergy International Full time

    Job Summary:Cenergy International is seeking a skilled Contract Specialist to support the post-award commercial management of Supply Chain Contracts. The ideal candidate will have experience with SAP and Excel, as well as a Bachelor's Degree.Key Responsibilities:Support the commercial management of Supply Chain Contracts in accordance with company policies...


  • Houston, Texas, United States MOODY NEURO REHABILITATION INSTITUTE Full time

    Job Title: Payor Contracting Specialist PRNMoody Neuro Rehabilitation Institute is seeking a highly skilled Payor Contracting Specialist PRN to support our contracting efforts for our Lubbock, Houston, and Galveston facilities.Job Summary:The Payor Contracting Specialist PRN will be responsible for evaluating current payor contracts and rates, establishing...

  • IT Support Specialist

    2 weeks ago


    Houston, Texas, United States Avatar Managed Services Full time

    Job Title: IT Support SpecialistAt Avatar Managed Services, we are seeking a highly skilled IT Support Specialist to join our team. The successful candidate will provide timely and professional resolution of user requests for help and other services, ensuring smooth operations for our clients' organizations.Key Responsibilities:Provide technical support for...


  • Houston, Texas, United States Sound Oil Plc Full time

    **Contract Management Overview**Ensures contract completeness and accuracy by examining performance requirements, delivery schedules, and cost estimates.Prepares and reviews contract documents, including bids, specifications, and reports.Negotiates contracts with customers and bidders, ensuring compliance with company policies.Coordinates with planning and...

  • IT Support Specialist

    2 weeks ago


    Houston, Texas, United States Avatar Managed Services Full time

    Job Title: IT Support SpecialistJob Summary:The IT Support Specialist will provide timely and professional resolution of user requests for help and other services. They play a crucial role in providing technical support for end users and ensuring smooth operations for the client's organization.Key Responsibilities:Provide professional and friendly support...

  • Medical Specialist

    3 weeks ago


    Houston, Texas, United States Pain Specialist of America LLC Full time

    Pain Specialist of America LLC Job OpportunityWe are seeking a highly skilled and experienced Interventional Pain Medicine Expert to join our team at Pain Specialist of America LLC. As a leading provider of comprehensive pain management services, we are committed to delivering exceptional patient care and advancing the field of pain medicine.Responsibilities...


  • Houston, Texas, United States UPS Industrial Services Full time

    Job SummaryUPS Industrial Services is seeking a skilled Contract Review Specialist to join their team. The successful candidate will be responsible for drafting, reviewing, and negotiating contracts and agreements for clients and subcontractors in various industries.Key Responsibilities:Coordinate the review of contract documents to identify potential risks...


  • Houston, Texas, United States Octapharma Plasma Inc. Full time

    Job Title: Physician Contract SpecialistWe are seeking a highly skilled Physician Contract Specialist to join our team at Octapharma Plasma Inc.The successful candidate will be responsible for ensuring donor suitability, product integrity, and the continued good health of donors through compliance with FDA regulations and our Donor Center SOP.This is a...


  • Houston, Texas, United States Phillips 66 Full time

    Job SummaryAs a Contract Specialist, Commercial Agreements at Phillips 66, you will be responsible for managing contracts and databases throughout the life cycle of commercial agreements for the gathering and processing team. This includes monitoring contract expirations and executing re-contracting strategies based on commercial direction.Key...


  • Houston, Texas, United States Vitol Full time

    Job Title: Energy Contracts SpecialistVitol is a leading energy company with a presence across the energy spectrum. We seek to add value across the energy supply chain, including deploying our scale and market understanding to help facilitate the energy transition.The Energy Contracts Specialist's primary role is to mitigate Economic, Operational, Legal, and...


  • Houston, Texas, United States Kiewit Corporation Full time

    Key Responsibilities:As a Senior Commercial Contracts Specialist at Kiewit Corporation, you will be an integral member of the energy market execution team. Your primary focus will be on contract management best practices, ensuring compliance with company policies and industry standards. You will also be responsible for developing and implementing contracting...