Contract Manager
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Job Description
Contract Manager handling negotiations and management of provider contracts at CareCentrix. Collaborating with stakeholders to enhance provider network and patient care.
Responsibilities:
- Lead the direct negotiation of a significant portion of CareCentrix provider contracts across multiple health plans, payers, and product lines (DME, Sleep, Home Infusion, Home Health) to support strategic business goals.
- Manage the full lifecycle of contract negotiations and renegotiations, ensuring all documents progress efficiently through to final signature.
- Collaborate with key internal stakeholders—including Legal, Revenue Cycle leadership, and Care Service Center teams —to ensure contract terms align with operational requirements.
- Ensure all contracts and associated fee schedules are complete, accurate, and submitted in a timely manner.
- Facilitate the onboarding process for new providers joining the network.
- Identify and coordinate alternative providers to ensure uninterrupted patient care during provider transitions or contract terminations.
- Maintain a strong understanding of provider reimbursement methodologies (Home Health, DME, Home Infusion, Sleep) and stay informed on evolving payment models.
- Build and strengthen relationships with key provider partners to drive collaboration and performance.
- Partner with providers to develop contracting strategies that enhance network coverage with high‑quality, cost‑efficient providers delivering timely service to members.
Requirements:
- Bachelor’s degree desired. Equivalent relevant work experience may be considered in lieu of a degree.
- Minimum of 4 years of experience in a healthcare organization involving managed care contracting (e.g., provider relations, network development).
- Strong ability to interpret financial analyses and translate data into clear written summaries and actionable recommendations.
- Experience with bundled payment contracting or risk‑based/capitated payment models is preferred.
- Proficient in Microsoft Office, including Excel and PowerPoint, with advanced skills in computer systems, data management, and database development.
- Demonstrated success in contract negotiations, meeting facilitation, agenda creation, and achieving defined goals.
- Proven ability to meet stretch goals under challenging circumstances.
- Skilled in tracking, editing, and managing complex contracts involving multiple language iterations and addenda.
- Ability to collaborate effectively across internal teams and departments.
Benefits:
- Medical
- Dental
- Vision
- 401(k) with company match
- HSA employer contributions
- Dependent Care FSA employer contribution
- Paid Time Off
- Personal/Sick Time
- Paid Parental Leave
- Corporate bonus incentive
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