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MANAGED CARE CONTRACTING SPECIALIST in Philadelphia, Pennsylvania, US at TeamHealth

Date Posted: 10/16/2019

Job Snapshot

Job Description

MANAGED CARE CONTRACTING SPECIALIST

TeamHealth Northeast is in search of a Managed Care Contracting Specialist located in the Woodbury, NJ office.

Responsibilities:

  • Prepares requests for system loads and updates.
  • Support Contract Managers in contract execution.
  • Coordinates financial analyses.
  • Develops/ coordinates packages to submit to Managed Care organizations.
  • Assists in preparation and execution amendments to existing contracts.
  • Assists with payer claims issues, new start-ups and integrations, budgeting and litigation requests/needs.
  • Utilizes information systems, such as GE IDX and Microsoft Excel, to develop financial analysis of managed care plan data.
  • Special Projects as requested.

 

Job Requirements

Qualifications:

  • College degree preferred or equivalent experience.
  • Managed Care experience preferred.
  • General understanding of provider paperwork and legal requirements for Managed Care contracting.
  • Demonstrate the capacity to utilize Microsoft Excel, Microsoft Outlook, and Microsoft Word and other software applications.
  • Medical billing experience preferred.
  • Excellent communication skills, both verbal and written.
  • Understanding of medical terminology.
  • Ability to independently develop financial analyses requests based upon parameters.
  • Ability to manage multiple priorities.