Division Contract Manager
4 days ago
We are seeking a highly skilled Contract Negotiator to join our Southwest Division team. In this role, you will lead the efforts in contract negotiations and analysis for Medicaid, managed care, and other ancillary/payor source contracts.
The ideal candidate will have a bachelor's degree in business or healthcare field from an accredited college (or equivalent experience) and at least five years of experience in managed care contracting in the insurance or provider setting. Prior healthcare experience, particularly in skilled nursing, is preferred.
This is a unique opportunity to work closely with facilities to implement profitable managed care contracts, educate staff on aspects of managed care and cost containment, and review contracts annually to negotiate optimal rates. As a liaison between managed care organizations and facilities, you will problem-solve issues and ensure cost-effective services are provided.
Estimated Salary: $90,000 - $120,000 per year
Key Responsibilities:
- Negotiate and analyze contracts for Medicaid, managed care, and other ancillary/payor source contracts
- Work closely with facilities to implement profitable managed care contracts
- Educate divisional, regional, and facility staff on aspects of managed care and cost containment
- Review contracts annually to negotiate optimal rates
- Serve as liaison between managed care organizations and facilities to problem-solve issues
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