Managed Care Contracting Coordinator

   Posted: January 4, 2023    Location: Melville, NY    Job Type:

Job Description

The Managed Care Contracting Coordinator will build and maintain relationships with internal and external sources involved in the contracting process. The ideal candidate will participate in the development of contract language and negotiation strategy.

In addition, the contracting coordinator serves as a liaison with the finance and billing department, along with other internal staff on implementation of contracts and compliance to contract terms to ensure company is receiving appropriate reimbursement.

The role interacts with internal and external parties regarding communication/questions about rates and terms, rate structure and development and reconciliation of contract provisions and disputes.

Responsibilities:

  • Develop strategy for contract relationships, including specific products (for ex: MLTC or Medicaid)
  • Continuous communication with contracted payers, including Medicaid health plans, counties, and commercial health plans on the status of their managed care contracts
  • Closely monitoring all correspondence and contract credentialing/ recredentialing due dates to ensure no lapses in contract periods
  • Determine how contracting department can assist with processes, communication, or interpretation of language
  • Facilitate payer meetings, including preparing agendas, attending meetings, etc.
  • Address operational issues with payers by proactively identifying issues, and soliciting information and feedback
  • Create reports to highlight retention analytics for management on a regular basis
  • Develop reporting needs and manage the production of periodic reports to evaluate managed care contract performance or compliance. Manage the compilation of data, research, and analysis for special projects
  • Execute and manage one-time deal agreements and processes with non-contracted payers.
  • Provided administrative support to the managed care department

Qualifications:

  • Bachelor’s degree
  • Healthcare/homecare experience

Salary beginning at $55,000

If you feel, your background and experience would align with this position APPLY TODAY for immediate consideration.

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