Managed Care Contracting Director

New

Skills

Ms Office

The Director of Managed Care Contracting is responsible for analyzing payer contracts to support negotiations, drafting, redlining, and negotiating managed care agreements, managing the full contract lifecycle, liaising between payers and internal departments, resolving payer issues, representing the company in Joint Operating Committee (JOC) meetings with payers, and providing written updates to management on contract terms.

Key Responsibilities
  • Analyze payer contracts
  • Draft, redline, and negotiate managed care agreements
  • Manage the full contract lifecycle
  • Liaise between payers and internal departments
  • Resolve payer issues
Required Skills & Qualifications
  • Bachelor's degree in healthcare administration, business, or related field
  • 5+ years in managed care contracting; CA experience preferred
  • Strong understanding of delegated models, capitation, and prepaid
  • Familiar with DMHC and Knox-Keene Act
  • Ability to analyze and summarize health contracts
  • Excellent written and verbal communication
  • Strong organizational skills; manage multiple contracts
  • Proficient in contract management systems and MS Office

Job Type: Remote

Salary: Not Disclosed

Experience: Entry

Duration: 12 Months

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