Senior Managed Care Contracting Consultant

Posted 32ds ago

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Job Description

Sr. Managed Care Contracting Consultant at Trinity Health leading negotiations for national and regional payer contracts. Driving project management and compliance in a complex healthcare environment.

Responsibilities:

  • Provides managerial direction and consultation for major payer contracting initiatives
  • Leads negotiations and problem-issue resolution for major Managed Care payers
  • Develops and implements managed care strategies in collaboration with Regional Health Ministries
  • Manages executive relationships and engages stakeholders in meetings and initiatives
  • Ensures compliance with legal, financial, and business requirements through project management

Requirements:

  • In-depth knowledge of managed care contracting and payer-provider relationships
  • Experience with HMO, PPO and other major payer contracting entities
  • Strong project management, collaborative, and consensus-building skills
  • Ability to conduct complex language and financial analysis with major payers
  • Experience in strategy development, contract negotiations and payer relations

Benefits:

  • Health insurance
  • 401(k) matching
  • Paid time off
  • Flexible work arrangements
  • Professional development opportunities