Managed Care Contract Associate I - SCP Health : Job Details

Managed Care Contract Associate I

SCP Health

Job Location : Lafayette,LA, USA

Posted on : 2024-12-12T20:05:18Z

Job Description :

DescriptionAt SCP Health, what you do mattersAs part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care. Why you will love working here:

Strong track record of providing excellent work/life balance
Comprehensive benefits package and competitive compensation
Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.

What you'll be doing:

Provide support to the Managed Care department.
Update our contracts for new service lines and locations.
Implements new Managed Care contracts and participate in revenue improvement initiatives.
Review language and summarize Managed Care contracts that are being considered for contracting and gather all data pertinent to finalize contract executions.
Responds to requests for information related to Managed Care contracts
Handle day-to-day communications with payers and renewal negotiations on existing contracts.
Evaluate new payer arrangements as they are presented.
Pursue optimal reimbursement in discovering opportunities that would increase revenue through payer analyses.
Acts as a liaison to assist internal and external stakeholders
Coordinate with Analytics to determine the financial impact of new and renegotiated managed care contracts.
Coordinate with Provider Enrollment Team with regard to Provider Enrollment with Managed Care plans.
Provide demographic and chargemaster updates to our payor partners.
Other duties deemed necessary by management.

Who/What we are looking for:

Bachelors Degree from an accredited academic institution required.
Healthcare Experience Preferred.
Ability to work and make decisions independently, displaying a keen eye for attention to detail, and providing accurate status of progress, issues, and risks on all projects.
Ability to exercise considerable individual judgment and initiative, and to rely on experience and judgment to plan and accomplish goals.
Ability to work under stress and pressure while maintaining a positive, professional manner both in person and via phone, e-mail, business letter, or fax.
Ability to be flexible, be readily adaptable and work in a rapidly and constantly changing environment.
Ability to produce quality and timely results while handling multiple projects, exhibiting good organizational and time management skills.
Communicate effectively at all organizational levels and in situations requiring instructing, persuading, negotiating, consulting, and advising.
A wide degree of creativity and latitude is expected.
Ability to communicate clearly and effectively, both verbally and in writing.
Ability to effectively problem solve.
Can learn to negotiate, read, and navigate Managed Care contracts.
Ability to work well with diverse groups and individuals in a team setting.
Ability to prepare and conduct effective presentations.
Strong leadership skills required.
Willingness to adhere to productivity goals and departmental guidelines.
Basic understanding of healthcare reimbursement and Emergency/Hospital medicine
Proficiency in Microsoft Office products.

This position is eligible for our corporate benefits, please click this link for the details: SCP Health and its affiliated companies (collectively, SCP Health ) require applicants for specific positions, such as those onsite at a client company/healthcare facility or affiliate to be vaccinated against COVID-19 as a condition of employment, except where prohibited by state or local law. To demonstrate compliance with SCP Health's vaccination policy, proof of COVID-19 vaccination status will be requested upon a conditional offer of employment for onsite positions at a client company/healthcare facility. SCP health will consider religious and/or medical/disability accommodation and other legally required exemption request as required by applicable law. To learn more about SCP Health, please visit: www.scp-health.com Join our social circle: