Managed Care Contracting Analyst
Job Details
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National Medical - Chesterfield - Chesterfield, MO
N/A
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Description

Primary Duties:

  • Manage and maintain accurate files for each pending and executed managed care contract and provide network updates as required
  • Assist in resolving billing or other contractual problems with insurance carriers on behalf of clients
  • Develop strategies to optimize resources, maximize efficiency at a lower cost and increase reimbursement opportunities
  • Actively evaluate and negotiate managed care contracts with health plans, hospitals/health care systems, medical groups/IPA's, government programs and other payers
Qualifications

Education and Skills Required:

Bachelor’s degree in business or health administration OR 2 years of experience in a managed care environment

  • Interpersonal skills with the ability to interact effectively with all levels of employees, clients, payers and providers
  • Decision-making skills; possesses the ability to devise creative and alternative solutions to pressing problems
  • Detail-oriented and ability to prioritize multiple tasks simultaneously
  • Proficient in Excel
  • Ability to work in a team environment

 

Work Environment:

  • Currently remote- expected to be an onsite position in the future
  • Participate in departmental training and staff meetings
  • Adhere to all compliance and company policies and procedures
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