Payor Relations & Contracting Analyst

Start the day excited to make a difference…end the day knowing you did. Come join our team.

Job Summary:

Responsible for managed care contract administration, provider services, and managed care organization support. Will assist in managed care contract negotiations. This position must demonstrate a commitment of quality service to our patients, the public and co-workers.

Essential Functions & Responsibilities:

• Assists in the negotiation of managed care contracts as assigned.
• Assists with contract implementation of managed care agreements within the department, as well as with internal and external customers.
• Provides managed care support to the organization including all MWHC businesses.
• Administers negotiated managed care agreements and works with managed care payers to administer negotiated agreements.
• Develops and maintains relationships with payers and with customers to effectively manage contracts and resolve issues.
• Serves as back up for the creation and generation of reports, relevant to position, in order to provide meaningful information for the department, as well as to internal and external customers.
• Compiles and analyzes internal and external information as it relates to managed care contracts.
• Provides support for physician organizations.
• May assist in developing and maintenance of procedural documentation.
• Attends events to keep abreast of current methodologies and approaches.
• Participates in the completion of survey's relevant to position.

Qualifications:

• Bachelor's Degree preferred. Associate's Degree and a minimum of two (2) years of healthcare related work experience required or four years of managed care experience may be substituted for education requirement.
• Strong analytical and negotiation skills required.
• Ability to work independently required.
• Strong customer service skills required.
• Strong computer skills relevant to position required.
• Strong verbal, written and presentation skills required.

As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.