Managed Care Contracting Coordinator

Posted: April 25, 2023 Location: Melville, NY Job Type: Management

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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Always Compassionate Home Care provides equal opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or any other non-merit based factors protected federal, state, or local law. All employment related decisions are based solely on relevant criteria including experience and suitability. If you require assistance to fill out this application form or during any phase of the job application process, please notify the person who gave you this form or Always Compassionate Home Care’s Human Resources Department and every reasonable effort will be made to accommodate your needs in a timely manner in accordance with federal, state, and/or local law.