Contract Manager - Managed Care - Full time, 8hr - Days
Company: Washington Hospital Healthcare System
Posted on: June 13, 2022
The Manager of Contract Services is responsible for the
administration, review, and financial analysis of managed care
contracts for the healthcare system, as well as assisting with all
managed care claim, payment and physician issues. Additionally, the
position organizes, oversees and performs financial reporting and
financial modeling for senior management strategic managed care
decision - making. The Contract Manager works inter-departmentally,
proactively, as well as in a problem-solving manner, and represents
Washington Hospital Healthcare System on external and
extra-organizational committees relating to managed care functions.
Bachelor's degree required; Master's preferred
Experience related to financial analysis within a health care
environment or equivalent coursework.
Experience in an administratively responsible position with
significant intra-department work required.
Knowledge of legal terminology, understanding of governmental and
Previous experience in the areas of managed care/finance/or patient
Demonstrated ability to perform financial analysis, including
Responsible for the initial reading and financial analysis of
managed care contracts for content, administrative issues, and
appropriate financial return.
Evaluate financial performance of existing contractual
relationships and monitor performance of new contractual
relationships. This includes production of financial impact reports
on an ongoing basis by both payor and medical group.
Prepare historical and financial data to provide support for
contract negotiations and contract renewals.
Perform computer contract modeling on the impact of rates and
contract term changes.
Negotiate rates on a case-by-case basis, as the need arises.
Always ensures the accuracy and completeness of all projects,
information, and analysis.
Keywords: Washington Hospital Healthcare System, Fremont , Contract Manager - Managed Care - Full time, 8hr - Days, Executive , Fremont, California
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