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Contract Manager - Managed Care - Full time, 8hr - Days

Company: Washington Hospital Healthcare System
Location: Fremont
Posted on: August 3, 2022

Job Description:

Position Summary:
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 legislative regulations.

Previous experience in the areas of managed care/finance/or patient accounting.

Demonstrated ability to perform financial analysis, including modeling.

Job Duties
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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