- Managed Care Contract Negotiation:
- Responsible for the coordination of completion of credentialing and recredentialing for assigned payer/partner companies within payer time frames. Demonstrate advanced managed care contract negotiation skills within a hospital, medical group, or health plan environment.
- Contract Development:
- Work with department and service leaders in resolving contract related issues and contract development and performance.
- Maintain ongoing relationships with internal and external customers including community network providers, health plans, medical groups and other payers to resolve contract-related operational issues in a timely manner.
- Other duties and/or projects as assigned.
- Adheres to HMH Organizational competencies and standards of behavior.
- Bachelor's Degree in Finance or a Healthcare related field.
- A minimum of 3 years of experience in facility and ancillary provider reimbursement mechanisms.
- Demonstrates analytical skills.
- Excellent written and verbal communication skills.
- Proficient computer skills that include but are not limited to Microsoft Office and/or Google Suite platforms.
- Knowledge of NJ Managed Care marketplace.
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Senior Contracting Specialist Managed Care - Edison, United States - Hackensack Meridian Health
Description
Overview
Our team members are the heart of what makes us better.
At
Hackensack Meridian
_Health_ we help our patients live better, healthier lives - and we help one another to succeed.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The
Senior Contracting Specialist Managed Care will develop and negotiate owned and affiliated partner companies' ancillary and hospital service contracts on behalf of Hackensack Meridian Health in accordance with established rate and language parameters.
Candidates should be experienced in all aspects of Managed Care Contracting including a full and comprehensive knowledge of contractual language and redlining of associated documents.
Responsibilities
A day in the life of a
Senior Contracting Specialist Managed Care at Hackensack Meridian Health includes:
Develop and negotiate owned and affiliated partner companies ancillary and hospital service contracts on behalf of Hackensack Meridian Health in accordance with established rate and language parameters.
Address operational, financial, and service issues with assigned payers, and facilitate contract implementation within key operational areas throughout the organization.
Qualifications
Education, Knowledge, Skills and Abilities Required :
Education, Knowledge, Skills and Abilities Preferred :
Job ID _ _
Department _Corp Managed Care Admin_
Site _HMH Hospitals Corporation_
Job Location _US-NJ-Edison_
Position Type _Full Time with Benefits_
Standard Hours Per Week _40_
Shift _Day_
Shift Hours _8:30 a.m. 0 5:00 p.m._
Weekend Work _No Weekends Required_
On Call Work _No On-Call Required_
Holiday Work _No Holidays Required_
