Managed Care Contracting and Performance Advisor

📋 Description

• Evaluate managed care contracts: Review and audit existing agreements to identify opportunities for
• Conduct financial and reimbursement analysis: Build financial models and assess the impact of
• Assess contractual risks: Interpret complex contract language, reimbursement methodologies, payment
• Develop contracting strategies: Prepare business cases, financial assessments, and executive-level
• Support payer negotiations: Develop and execute negotiation strategies involving commercial
• Prepare negotiation proposals: Analyze payer offers, develop data-supported counterproposals, and

🎯 Requirements

• Education and experience: Bachelor's degree with at least 6–8 years of relevant professional
• Relevant industry background: Experience in healthcare provider organizations, central business
• Managed care contracting: Demonstrated experience reviewing, evaluating, or negotiating healthcare
• Reimbursement analysis: Experience conducting financial analyses, reimbursement evaluations
• Healthcare reimbursement knowledge: Understanding of hospital and physician reimbursement
• Contract interpretation: Ability to interpret complex contractual provisions, identify financial

🎁 Benefits

• Competitive compensation: Annual salary range of $113,000–$188,000, depending on experience
• Performance incentives: Potential eligibility for a discretionary variable incentive bonus.
• Comprehensive healthcare coverage: Medical, prescription drug, dental, and vision insurance.
• Retirement planning: Access to a 401(k) retirement plan.
• Paid time off: Personal and family sick time, along with company-paid holidays.
• Parental support: Parental leave benefits.