Senior System Payer Relations & Contract Manager - Remote

Overview

This position will serve as the lead contracting contact for University of Maryland Medical System (UMMS) for assigned payers, focusing on revenue protection and growth strategies.

In Short

• Lead contracting contact for assigned payers.
• Conduct contract negotiations and manage contracts.
• Establish and maintain relationships with payers.
• Assess payer market share and intelligence.
• Collaborate with staff to identify contracting opportunities.
• Improve contract performance and revenue enhancement.
• Facilitate contract proposals and requests for information.
• Evaluate payer’s existing provider network.
• Define competitive edge through proposals.
• Inform and advise leadership on payer participation.

Requirements

• Bachelor’s Degree in Marketing, Business Administration, or related discipline.
• Seven to ten years of experience in managed care contracting.
• Extensive knowledge of managed care practices.
• Knowledge of medical terminology and claim coding.
• Excellent written and verbal communication skills.
• Ability to work independently and collegially.
• Demonstrated effectiveness in complex environments.

Benefits

• Competitive salary range.
• Comprehensive benefits package.
• Opportunities for professional development.
• Supportive work environment.
• Engagement in innovative healthcare practices.