Managed Care Specialist

casa colina hospital and centers for healthcare; Canada; On-site; CAD 80,000 - 110,000; Full time

Job summary

A healthcare organization in Canada seeks a Managed Care Specialist to manage hospital contracts and negotiate with payers. The ideal candidate will have at least 2 years of managed care negotiation experience, excellent communication skills, and hospital billing experience. This role offers a salary range of $80,000 to $110,000 based on experience.

Qualifications

• At least 2 years’ experience in hospital managed care negotiations.
• Excellent verbal and written communication skills.
• Hospital billing experience preferred.

Responsibilities

• Manage and negotiate hospital contracts.
• Ensure optimum balance of growth and profitability.
• Coordinate with various hospital departments and managed care payers.

Skills

Hospital managed care negotiations

Verbal communication

Written communication

Excel skills

Analytical skills

Job description

The Managed Care Specialist works with the Revenue Cycle Team to manage and negotiate hospital contracts. Responsible for all managed care contracts for the hospital and affiliated organizations. Assists in negotiating contracts to ensure the optimum balance of progressive growth and profitability. Coordinates closely with various hospital departments as well as the managed care payers. Verifies that insurers are paying correctly and escalates payment issues to payers.

The ideal candidate will possess the following:

• At least 2 years’ experience in hospital managed care negotiations
• Excellent verbal and written communication skills
• Hospital billing experience preferred
• Knowledge of payer market in southern California preferred
• Excel and analytical skills preferred

Salary Range = $80,000 to $110,000 based upon experience