Managed Care Contract Negotiator

nimble solutions; Chesterfield (MO); On-site; USD 60,000 - 90,000; Full time

Job summary

Nimble Solutions seeks a Contract Specialist to implement and maintain a managed care contracting strategy across multiple states. You will be the external negotiator with payers, analyze contract terms, and assess financial impact using data models.

You will collaborate with clients to understand goals, tailor negotiation approaches, and resolve billing or contractual issues with insurers, driving favorable outcomes in a fast-paced revenue cycle environment.

Qualifications

• 0-2 years of experience; recent grads with a degree in Healthcare Administration or Business encouraged to apply
• Strong analytical and critical thinking skills with the ability to interpret complex data and synthesize into client-ready insights
• Excellent communication and presentation skills — ability to explain data-driven recommendations to non-technical stakeholders
• Highly organized and detail-oriented; able to manage multiple priorities and deadlines in a fast-paced environment
• Demonstrated familiarity with managed care contracts, reimbursement methodologies, and payer systems is a plus but not required

Responsibilities

• Manage and maintain accurate files for each pending and executed managed care contract; provide timely network updates to clients
• Serve as the external negotiator with payers on behalf of healthcare facilities and providers, handling outreach and contracting logistics
• Analyze contract terms, reimbursement structures, and financial impact using data models and payer data
• Develop clear, actionable recommendations based on analysis and present findings to the provider client
• Partner with clients to understand goals and tailor negotiation strategies accordingly
• Assist in resolving billing or contractual issues with insurance carriers, advocating on the client’s behalf
• Evaluate and renegotiate contracts with health plans, hospitals, IPAs, government programs, and other payers
• Load and validate payer contract terms, rates, and fee schedules into client systems with accuracy
• Ensure organized documentation and version control for all contract files and payer communications
• Track regulatory updates, policy changes, and market trends that may affect client reimbursement
• Support additional client projects including payer escalations, audits, and strategic network decisions

Skills

Excel

Financial modeling

Data analysis

Negotiation

Analytical thinking

Education

Bachelor's in Healthcare Administration

Business/Finance-related degree

Tools

Financial modeling tools

Job description

Nimble Solutions seeks a Contract Specialist to implement and maintain a managed care contracting strategy across multiple states. You will be the external negotiator with payers, analyze contract terms, and assess financial impact using data models.

You will collaborate with clients to understand goals, tailor negotiation approaches, and resolve billing or contractual issues with insurers, driving favorable outcomes in a fast-paced revenue cycle environment.