Managed Care Contract Manager

The Christ Hospital Health Network; United States; On-site; USD 90,000 - 130,000; Full time

Job summary

The Christ Hospital Health Network is seeking a Managed Care Contract Manager to oversee payor contracts through their lifecycle. You will support negotiations, perform financial analyses, and optimize reimbursement to improve contract performance, while maintaining strong payor relationships and alignment with the organization’s managed care strategy.

Working with the Payor Relations and Revenue Cycle teams, you will translate complex financial data into concise insights for leadership and

Qualifications

• Master's degree in Business or Healthcare Administration preferred.
• 3-5 years of healthcare contracting/negotiation experience required.
• Advanced Excel and data analysis skills required.
• Knowledge of price transparency and JSON is a plus.

Responsibilities

• Support payor contract negotiations and lifecycle management.
• Conduct financial analyses and contract yield projections.
• Optimize reimbursement strategies and revenue integrity.
• Collaborate with Payor Relations and Revenue Cycle teams to align with strategy.

Skills

Financial analysis

Reimbursement knowledge

Communication

Education

Master's degree in Business or Healthcare Administration

Bachelor's in Healthcare Administration/Finance/Analytics or related experience

Job description

The Managed Care Contract Manager manages payor contracts throughout their lifecycle, supporting contract negotiations, financial analysis, reimbursement optimization, and revenue integrity. As a member of the Payor Relations team and working closely with the Revenue Cyle team, this role uses data-driven insights to improve contract performance, support strategic negotiations, and maintain strong relationships with payor partners while ensuring alignment with the organization's managed care strategy.

EDUCATION:

- Master's degree in Business or Healthcare Administration preferred. Bachelor's degree in Healthcare Administration, Finance, Business Analytics, or a closely related professional discipline, or Associate's degree and 5 or more years of equivalent verified experience in negotiation, contract management, or payor relations required.

YEARS OF EXPERIENCE:

- 3-5 years of direct experience within a healthcare system, major provider group, or commercial payor environment and experience in negotiating reimbursement and other agreements between healthcare organizations required. Analytics within a healthcare payor and provider relationship setting preferred.

REQUIRED SKILLS AND KNOWLEDGE:

• - Financial & Analytical Acumen: Proficiency in financial modeling, data analysis, and contract yield projections required. Advanced Excel capability is required, with experience digesting price transparency files among providers and payors - experience w/ JSON file format preferred.
• - Reimbursement Methodologies: Solid, practical understanding of healthcare reimbursement models including MS/APR-DRGs, APCs, fee schedules, value-based care programs, and other payment models.
• - Communication & Synergy: Demonstrated ability to translate highly technical or complex financial data into concise, actionable insights for leadership, while maintaining strong relationships with payor representatives.