Pennant
Life Changing Service
Managed Care Contracting Manager
Location
United States
Posted
93 days ago
Salary
$95K - $105K / year
Bachelor Degree5 yrs expEnglish
Job Description
• Support Home Health, Hospice, Private Duty, and Senior Living Facility leaders in managed care contracting and revenue enhancement strategies.
• Negotiate managed care payer contract rates and terms and provide guidance for developing managed care relationships.
• Conduct managed care education sessions and develop a strategic vision to accelerate the operations results.
• Assist in analysis of contract terms and rates and coordinate submissions of amendments and language changes.
• Maintain effective relationships with managed care payors and healthcare regulatory agencies.
• Monitor industry changes and market trends to protect managed care revenue and present as a subject matter expert.
• Teach and train operational leadership on managing their contracts and assist AR team with managed care claims issues.
Job Requirements
- Bachelor’s degree in business administration, management or health care administration preferred.
- 5 + years’ experience in managed care contracting with a managed care payer or provider organization.
- Analytically oriented with the ability to communicate complex financial matters in a concise, professional manner.
- Must be knowledgeable about the managed care environment; including Medicare Advantage, Commercial and Managed Medicaid products (HMO, PPO, EPO, POS and Special Needs Plans).
- Knowledge of managed care payer contract language and terms, standard requirements and negotiated rate methodology to support contract compliance and analysis.
- Strong computer skills (MS Word, MS Outlook & Excel) with Smartsheet knowledge a plus.
- Must be able to travel.
Benefits
- Health insurance
- 401(k) matching
- Paid time off
- Professional development opportunities
