Managed Care Specialist

About the role

The Managed Care Specialist works with the Revenue Cycle Team to manage and negotiate hospital contracts. Responsible for all managed care contracts for the hospital and affiliated organizations. Assists in negotiating contracts to ensure the optimum balance of progressive growth and profitability. Coordinates closely with various hospital departments as well as the managed care payers. Verifies that insurers are paying correctly and escalates payment issues to payers.

Responsibilities

• Negotiate hospital managed care contracts
• Ensure optimal balance of growth and profitability
• Coordinate with various hospital departments and managed care payers
• Verify correct payment from insurers
• Escalate payment issues to payers

Requirements

• At least 2 years’ experience in hospital managed care negotiations
• Excellent verbal and written communication skills
• Hospital billing experience preferred
• Knowledge of payer market in southern California preferred
• Excel and analytical skills preferred

Qualifications

• Proven track record in contract negotiation
• Strong interpersonal and communication skills
• Understanding of healthcare billing processes
• Knowledge of Southern California healthcare payer landscape
• Proficiency in Excel and data analysis

Skills

• Contract Negotiation
• Communication Skills
• Billing Experience
• Payer Market Knowledge
• Excel and Analytical Skills

Benefits

Salary Range: $80,000 to $110,000 based upon experience

Pay

Salary Range: $80,000 to $110,000 based upon experience

Schedule

Not specified