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Managed Care Contract Specialist
Franciscan Missionaries of Our Lady Health System. Lead and oversee all stages of the payor contract management cycle, ensuring timely execution and adherence to organizational parameters .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in payor contract management, including negotiation, financial modeling, and healthcare reimbursement strategies. Strong ability to communicate complex issues and drive continuous improvements in contract processes.
Highest-signal resume keywords
Payor Contract ManagementContract NegotiationFinancial ModelingHealthcare ReimbursementAttention To Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Contract DocumentationDecision Support AnalysisOperational ImprovementClaim Issue ResolutionFinancial Acumen
Soft Skills
Effective Communication
Industry Keywords
Managed CareHealthcare AdministrationContract OptimizationPayment RatesAd Hoc Requests
About the role
Key responsibilities & impact- Lead and oversee all stages of the payor contract management cycle, ensuring timely execution and adherence to organizational parameters
- Initiate and facilitate contract negotiations to secure favorable payment rates and terms
- Manage contract documentation, track changes, and obtain input from relevant parties
- Negotiate individual patient agreements to optimize reimbursement
- Perform high-level decision support analyses, financial modeling, and report preparation for payor negotiations, claim issue resolution, and ad hoc requests
- Review healthcare trends to identify operational improvement and contract optimization opportunities
- Communicate complex issues effectively and represent the organization positively
- Deliver accurate and timely contract management work products
- Identify and collaborate on continuous improvements to contract management processes and terms
- Perform other job-related duties as assigned
Requirements
What you’ll need- 3-4 years of experience needed
- Bachelor's Degree in Business, Finance, Healthcare Administration or related field
- Attention to detail
- Financial Acumen
- Effective communication
- Healthcare reimbursement
- Managed care contract negotiation