Senior Consultant, Managed Care
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Job Description
Sr. Consultant managing care agreements and overseeing contracting activities at Stanford Health Care. Partnering with leadership to advance payor contracting and manage policy review processes.
Responsibilities:
- Support development, review, and negotiation of managed care agreements.
- Assist with drafting, reviewing, and maintenance of network participation agreements.
- Lead cross-functional evaluation of policy updates.
- Negotiate varied and complex reimbursement methodologies.
- Monitor, review, and summarize state and federal regulatory updates impacting health care reimbursement.
Requirements:
- Bachelor's degree in a related field from an accredited college or university required.
- 5 years of experience in managed care, healthcare contracting, or payor relations required.
- Experience with payor policies, reimbursement methodologies, and regulatory requirements impacting health care contracting across multiple jurisdictions required.
Benefits:
- Health insurance
- 401(k)
- Paid time off
- Flexible work arrangements
- Professional development
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