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Managed Health Contract Manager

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Advocate Health Care

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Location:
United States , Rome

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Category:
Finance

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Contract Type:
Not provided

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Salary:

35.50 - 53.25 USD / Hour
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Job Responsibility:

  • Assist in the development and implementation of strategies and objectives related to managed care contracting for assigned Managed Care Organizations
  • Responsible for rate and language negotiation of assigned minor payor agreements
  • Support Director/AVP support for rate and language negotiations of major payor agreements
  • Assist with the development of negotiation strategy for major payors
  • Negotiate rate and language of small to mid-size payor agreements
  • Monitor, regularly review and report financial and operational performance of assigned payor contracts versus expectations
  • Understand and identify current risks and sources of exposure Primary Enterprise
  • Gather and analyze data and apply methodologies
  • Maintain current detailed working knowledge of all assigned payor contracts and manage System relationship with such payors
  • Creates and implements, based on Management feedback and information supplied by other System entities, managed care contracting policies and procedures to maximize System performance in managed care relationships
  • Provide System with accurate and current managed care market intelligence
  • Provide education on new agreements as they affect stakeholders via written communications or presentations as needed
  • Develop and maintain cooperative internal working relationships with all parts of the Total Enterprise to effectively evaluate and assess overall impact of contracting initiatives
  • Proactively work with Managed Care Analytics to report and refine reporting of contract performance, analysis and modeling tools
  • Work closely with Managed Care Specialist and Managed Care Senior Specialist on operational issues that become contract issues

Requirements:

  • Bachelor's degree required
  • Master's degree preferred (MBA or MHA preferred)
  • Minimum of 3 years experience as a contract negotiator with a large provider or 5 years small provider or payor experience as a contract negotiator with a Bachelor's degree
  • Minimum of 2 years experience as a contract negotiator with a large provider or 4 years small provider or payor experience as a contract negotiator with a Master's degree
What we offer:
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program

Additional Information:

Job Posted:
February 14, 2026

Employment Type:
Fulltime
Work Type:
On-site work
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