Remote Otter LogoRemoteOtter

Senior System Payer Relations & Contract Manager - Remote

Posted 6 weeks ago

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.

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