Signature Healthcare Managed Care Specialist in West Bridgewater, Massachusetts
Under the direction of the Director of Contracting, provides support to the Managed Care department in analyzing contract proposals, developing managed care strategy, improvement of the revenue cycle and works with operational personnel regarding payer administrative matters. High school diploma or equivalent required. Bachelor’s Degree in accounting or finance (or equivalent) required. MBA preferred. Requires three to six years previous experience in managed care with at least 2 years working in an operational or financial role. Must have experience in facilitating compliance with managed care administrative policies and procedures. Must possess deductive reasoning, analytical and problem-solving skills. Proficient use of Microsoft Excel, Word and Power Point required. The Contract Specialist is responsible for the contract management of all government and commercial health plans; which involves contract implementation, contract performance monitoring (e.g., payment accuracy, reporting obligations, identification of contract optimization opportunities), and works in collaboration with internal and external operational personnel regarding payer administrative matters; as well as, maintains the contract information within Meditech; creates and analyzes payment variance reports and collects underpayments from government and third party payers; reports monthly on collection activity; coordinates results of analyses with billing operations.