Contract Specialist, Managed Care

nimble solutions

. Implement and maintain Nimble’s managed care contracting strategy in a multi-state environment .

Posted 10/27/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in negotiating managed care contracts and analyzing reimbursement structures while providing actionable insights to clients. Proficient in managing multiple priorities and ensuring compliance with industry regulations.

Highest-signal resume keywords

Managed Care Contract NegotiationData Analysis and Financial ModelingClient Communication and PresentationRegulatory Compliance KnowledgeOrganizational Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Contract AnalysisReimbursement MethodologiesPayer Systems FamiliarityData InterpretationFinancial Impact Assessment

Soft Skills

Analytical ThinkingCritical ThinkingDetail-OrientedTime ManagementInterpersonal Communication

Tools & Technologies

ExcelFinancial Modeling Tools

Industry Keywords

Managed CareHealthcare AdministrationPayer NegotiationBilling Issues ResolutionMarket Trends Analysis

About the role

Key responsibilities & impact

Implement and maintain Nimble’s managed care contracting strategy in a multi-state environment
Manage and maintain accurate files for pending and executed managed care contracts
Provide timely network updates to clients
Serve as the external negotiator with payers on behalf of healthcare facilities and individual providers
Handle outreach, communication, and contracting logistics
Analyze contract terms, reimbursement structures, and financial impact using data models and payer data
Develop actionable recommendations and present findings directly to provider clients
Partner with clients to understand goals and challenges and tailor negotiation strategies
Assist in resolving billing or contractual issues with insurance carriers
Evaluate, negotiate, and renegotiate managed care contracts with health plans, hospitals/health systems, IPAs, government programs, and other payers
Load and validate payer contract terms, rates, and fee schedules into client systems
Ensure organized documentation and version control for contract files and payer communications
Track and interpret regulatory updates, policy changes, and market trends affecting client reimbursement
Support client projects, including payer escalations, audits, and strategic network decisions
Participate in departmental training and staff meetings

Requirements

What you’ll need

Strong analytical and critical thinking skills with the ability to interpret complex data and synthesize into client-ready insights
Demonstrated experience negotiating externally with payers or acting as a liaison 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 detail-oriented; able to manage multiple priorities and deadlines in a fast-paced environment
Familiarity with managed care contracts, reimbursement methodologies, and payer systems strongly preferred
Proficiency in Excel and financial modeling tools
Bachelor's degree in Healthcare Administration, Business, Finance, or a related field preferred
Adherence to all compliance and company policies and procedures

Benefits

Comp & perks

Hybrid or remote work arrangement
Participation in departmental training and staff meetings