Contracting Specialist, Managed Care

Hackensack Meridian Health; Woodbridge Township (NJ); Hybrid; USD 13,000 - 16,000; Full time

Job summary

Hackensack Meridian Health in New Jersey is seeking a Contracting Specialist, Managed Care to lead negotiations and manage contract language for payers across physicians, facilities, and related entities. This hybrid role requires 1–2 days onsite weekly and a strong background in managed care contracting.

You will analyze contracts, edit amendments, negotiate acceptable language, and ensure timely implementation within operations.

Qualifications

• Bachelor's degree in Finance or health-related field.
• Minimum 3 years of hospital/facility/physician contracting experience.
• Strong understanding of managed care contractual language and editing.
• Ability to negotiate payer language parameters with HMH.

Responsibilities

• Support negotiations for HMH Physicians and related entities.
• Facilitate contract implementation across payers and departments.
• Analyze and edit contractual language and amendments.

Skills

Negotiation

Analytics

Communication

Office Suite

Education

Bachelor's Degree in Finance or Health-related Field

Tools

Google Suite

Microsoft Office

Job description

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Contracting Specialist, Managed Care supports initiatives for HMH Physicians, Physician Related Entities, Urgent Care and Facility, Pay for Performance (P4P) and Professional Behavioral Health Services during system and new entities negotiations in accordance with Hackensack Meridian Health's (HMH) established rate and language parameters under the senior department leadership direction. Will be responsible for addressing operational, financial and services issues and facilitate contract implementation within key operational areas throughout the organization for assigned payers and HMH entities.

This posiion is Hybrid and would require 1-2 days per week onsite

Education, Knowledge, Skills and Abilities Required:

• Bachelor's Degree in Finance or Health related field.
• Minimum of 3 or more years of experience in Hospital, Facility, Ancillary, Physician Provider Contracting and operational experience, including a well-rounded full and comprehensive understanding of Managed Care contractual language, regulations and editing/redlining of Agreements/Amendments.
• Ability to negotiate HMH required language parameters with payers.
• Ability to work independently with minimal supervision.
• Work well under pressure, multitasker and managed to department and organizational timelines
• Excellent analytics and problem solving skills.
• Utilize tack and sensitivity in communicating effectively with internal and external customers.
• Excellent written and verbal communication skills.
• Proficient computer skills that include but are not limited to Google Suite and/or Microsoft Office platforms.

187991

Minimum rate of $14,630.72 Annually

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.

The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:

• Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.
• Experience: Years of relevant work experience.
• Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
• Skills: Demonstrated proficiency in relevant skills and competencies.
• Geographic Location: Cost of living and market rates for the specific location.
• Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
• Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.

Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.

In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.