New

Managed Care Contract Specialist

AccentCare
paid time off, paid holidays, 401(k)
United States, Texas, Dallas
17855 Dallas Parkway (Show on map)
Feb 22, 2025
Overview Find Your Passion and Purpose as a Managed Care Contract Specialist Reimagine Your Career in Corporate Healthcare As a professional, you know that what you do impacts you as much as our patients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families. We think it's really special to be a part of our patient's health journey and create incredible memories while providing world-class patient care. Offer Based on Years of Experience What You Need to Know The Managed Care Contract Specialist will be responsible for providing critical internal support to the negotiation strategy planning, negotiation and implementation, as well as ongoing contract performance management. The position will more specifically be responsible for assisting the Managed Care Team with planning and analysis prior to negotiations by using computer-based applications, specialized reports and state and federal websites to generate historical volume/revenue/profitability trending reports and/or new payer potential to aid with rate proposal development and negotiation strategy. The position is also responsible for the distribution of communications to all internal stakeholders for new and renewing managed care agreements across all LOBs, as well as validating and entering contract specific data into the contract management system as needed - including rate and language terms, ongoing updates related to payer demographics; contract terms and any proprietary fee schedules. Prepare and distribute all MC new/renewal negotiation communications to internal stakeholders to ensure timely and accurate loading of contract terms for Intake, RCM and Operations, as well as assist with as well as assist with ensuring applicable updates to BIGE. Engage with payors to obtain proprietary fee schedule updates, unsigned contracts, incomplete contracts or lost contracts. Coordinate any applicable amendments and distribute to all internal stakeholders. Complete trending reports for use with negotiation planning, using internal data applications and reporting tools. Obtain external data from payer or government websites as needed. Maintain monthly MC logs that summarize negotiation and credentialing activity. Maintain MC monthly logs for moves and denovo activity. Collaborate with MC negotiators, RCM and Intake as needed to research contract / payment /authorization issues to aid in determining best plan for resolution. Our Investment in You We are committed to offering comprehensive benefits and rewards to full-time employees who work over 30 hours per week and their families, including: Medical, dental, and vision coverage Paid time off and paid holidays Professional development Company-matching 401(k) Flexible spending and health savings accounts Qualifications Be the Best Managed Care Contract Specialist You Can Be If you meet these qualifications, we want to meet you! Bachelor's degree Experience in healthcare with provider organization preferred Self-motivated and a strong team player Strong communication, research and organizational skills - must be detail oriented Ability to manage multiple deliverables related to data management with the ability to identify issues, problem-solve and escalate problems as they arise Proficient with excel, Smartsheet, Word and Power Point Preferred experience with Qlik and Googlesheets Come As You Are At AccentCare, our care is most compassionate when we empathize and engage with everyone, and we are at our best when we value diverse perspectives, foster open dialogue, and enact change. And we are stronger when each of us is empowered to grow, be our unique selves, and feel a sense of inclusion and belonging. AccentCare is proud of how we are building a culture and inclusive infrastructure to help elevate the voice of all our employees with a special focus on the underrepresented and marginalized. We offer equal employment opportunities regardless of a person's race, ethnicity, sex, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental disability, physical disability, or any other protected classification.