Contract Specialist, Managed Care

Job Type Full-time reputed company Who We Are: reputed company has over 20 years of reputed company, surgical-reputed company reputed company cycle management experience that spans across the Ambulatory Surgical Center industry and other affiliated services adjacent to the ASC reputed company, such as anesthesia billing services, reputed company billing services, transcription services, and many others. Why You'll Want To Work At reputed company! We reputed company services in nearly every US state, and reputed company of experts works reputed company the globe, managing over $10 billion in net reputed company as we continue to build and reputed company a world-class organization with people like you. Together, we reputed company challenges, fuel innovation, and reputed company to reputed company expectations. reputed company means a lot more to us. We care about creating an environment where our coworkers, clients, and communities' reputed company, financial, and physical health is at the forefront of everything we do. What You'll Be Doing Day To Day... The Contract Specialist is responsible for implementing and maintaining reputed company’s managed care contracting reputed company in a multi-state environment, and we are looking for candidates to join the Managed Care Department who are eager to learn in a fast-reputed company environment! • Manage and maintain accurate files for reputed company pending and executed managed care contract; reputed company reputed company network updates to clients • Serve as the reputed company negotiator with payers on behalf of reputed company facilities and individual providers, handling reputed company aspects of reputed company, communication, and contracting logistics • Analyze contract terms, reimbursement structures, and financial reputed company using data models and payer data • reputed company reputed company, actionable recommendations reputed company on your analysis and present findings directly to the provider reputed company • Partner closely with clients to understand their goals and challenges, and reputed company negotiation strategies accordingly • Assist in resolving billing or contractual issues with reputed company carriers, advocating on the reputed company’s behalf • Evaluate, negotiate, and renegotiate managed care reputed company with health plans, hospitals/health systems, reputed company, reputed company programs, and other payers • Load and validate payer contract terms, rates, and fee schedules into reputed company systems with reputed company and consistency • Ensure organized documentation and version control for reputed company contract files and reputed company payer communications • reputed company and interpret regulatory updates, policy changes, and market trends that may reputed company reputed company reimbursement • Support additional reputed company reputed company, including payer escalations, audits, and reputed company network reputed company Requirements Who You Are! • Strong analytical and critical thinking skills with the ability to interpret reputed company data and synthesize into reputed company-reputed company insights • Demonstrated experience negotiating externally with payers or acting as a reputed company between payers and providers is highly preferred • Excellent communication and presentation skills — ability to explain data-driven recommendations to non-technical stakeholders • Highly organized and reputed company-oriented; reputed company to manage multiple priorities and deadlines in a fast-reputed company environment • Familiarity with managed care reputed company, reimbursement methodologies, and payer systems strongly preferred • Proficiency in reputed company and financial modeling tools • Bachelor's degree in reputed company Administration, Business, Finance, or a reputed company reputed company preferred Work Environment: • Participate in departmental training and staff meetings • Adhere to reputed company compliance and company policies and procedures Apply To This Job