Managed Care Contract Specialist

Houston, TX, TX
Full Time
Mid Level

Managed Care Contract Specialist

Location: Houston, TX 77024 (On-site)
Salary Range: $84,780 - $116,563

Are you passionate about healthcare operations and contract modeling? Join a mission-driven team as a Managed Care Contract Specialist, where you will play a key role in supporting hospital third-party payer negotiations and optimizing reimbursement strategies.

Key Responsibilities

  • Build, load, test, and maintain hospital contracts in the contract modeling system.
  • Support third-party payer negotiations by providing prospective modeling and financial impact analysis of proposed contracts and rate structures.
  • Analyze government and commercial reimbursement changes to propose adjustments supporting negotiations.
  • Collaborate with internal teams and external vendors to resolve contract discrepancies and support reimbursement-related projects.
  • Generate standard and ad-hoc reports for critical decision-making.
  • Identify and initiate process improvement opportunities to enhance operations.

Qualifications

  • Bachelor’s degree in Business Administration, Finance, or Accounting preferred.
  • At least 3 years of experience in hospital-specific contract modeling (preferably with Payment Integrity Compass or Epic).
  • Proficient in Excel, including pivot tables and VLOOKUP functions.
  • Strong analytical, problem-solving, and critical-thinking skills.
  • Effective written and verbal communication skills.

Why Join Us?

  • Be part of a collaborative, innovative team driving healthcare excellence.
  • Work on meaningful projects that improve reimbursement processes and healthcare delivery.
  • Access to a supportive work environment and career growth opportunities.
  • Comprehensive benefits, including medical, dental, vision, and retirement plans.

Interview Process

  1. Initial interview with leadership.
  2. Panel interview with team peers.

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Apply today to make a meaningful impact in healthcare contract operations!

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