Manager, Accounts Receivable Litigation (REMOTE)

Community Health Systems

Franklin (TN)

Remote

USD 85,000 - 110,000

Full time

3 days ago
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Benefits offered by this job

Health coverage and benefits
401(k) matching
Student loan assistance
Tuition assistance
Competitive compensation

Job summary

Community Health Systems is seeking a Manager, Accounts Receivable Litigation (REMOTE) in Franklin, TN, to lead a team handling managed care contracts and reimbursement calculations. You will coordinate with Reimbursement Administration and contract negotiators to ensure accurate contract terms and compliant processes.

The role partners with Managed Care and financial managers to support contract modeling and update coding methodologies, while overseeing system implementations and rate changes.

Qualifications

  • Bachelor's degree in Finance, Business Administration, Healthcare Administration, or a related field.
  • 4-6 years of experience in managed care contract administration, accounts receivable, or a related field.
  • 1-3 years of leadership experience preferred

Responsibilities

  • Supervises, trains, and supports the performance of team members to meet departmental objectives.
  • Manages contract implementation in the contract management system, including coding updates for new service definitions and rate changes.
  • Ensures accurate interpretation and programming of managed care contract language to reflect negotiated terms.
  • Works with internal stakeholders to troubleshoot issues and verify contract calculations, guiding expressions and logic for accurate modeling.
  • Monitors updates in coding schemes (ICD, CPT, DRG) to anticipate impacts on contract terms.
  • Analyzes benchmarks and performance metrics to maintain operational effectiveness and compliance.
  • Provides insights and recommendations to contract negotiators to ensure clarity in contract language.
  • Performs other duties as assigned and maintains regular attendance.
  • Complies with all policies and standards.

Skills

SQL or similar query tools
Contract management software
Google Suite

Education

Bachelor's Degree in Finance/Business/Healthcare Administration

Tools

SQL
Contract management software

Job description

Manager, Accounts Receivable Litigation (REMOTE)

Franklin, TN, United States

Job Description
  • Comprehensive Health Coverage - Medical, dental, and vision plans to keep you and your family healthy.
  • Future Security: 401(k) with matching
  • Student Loan Support - Up to $10,000 repayment assistance, because we invest in your future.
  • Educational Tuition Assistance
  • Competitive Pay & Full Benefits - A salary and package designed to reward your expertise and dedication.

Job Summary
The Manager, Accounts Receivable Contracts oversees a team responsible for coding, testing, and maintaining managed care contracts within the contract management system. This role ensures contract terms align accurately with legal documents and assists with reimbursement system capabilities, working closely with the Reimbursement Administrator. The Manager serves as a liaison with Managed Care and financial managers to support contract modeling and enhance understanding of contract reimbursement calculations.

Essential Functions

  • Supervises, trains, and supports the performance of team members to meet departmental and corporate objectives.
  • Manages contract implementation in the contract management system, including coding updates for new service definitions, reimbursement methodologies, and scheduled rate changes.
  • Ensures accurate interpretation and programming of managed care contract language to reflect rate structures and terms as negotiated.
  • Works with internal stakeholders to troubleshoot issues and verify contract calculations, providing guidance on expressions and logic for accurate contract modeling.
  • Monitors updates in coding schemes (e.g., ICD, CPT, DRG) to anticipate impacts on contract terms and reimbursement structures.
  • Analyzes benchmarks and performance metrics, taking appropriate action to maintain operational effectiveness and compliance with standards.
  • Provides insights and recommendations to contract negotiators to ensure clarity and accuracy in contract language and terms.
  • Performs other duties as assigned.
  • Maintains regular and reliable attendance.
  • Complies with all policies and standards.

Qualifications

  • Bachelor's Degree in Finance, Business Administration, Healthcare Administration, or a related field required
  • 4-6 years of experience in managed care contract administration, accounts receivable, or related field required
  • 1-3 years of prior leadership experience preferred

Knowledge, Skills and Abilities

  • Strong understanding of managed care contracting, medical coding, and reimbursement methodologies.
  • Proficiency with relational databases, including SQL or similar query tools.
  • Knowledge of coding systems and their impact on reimbursement (ICD-10, CPT, HCPCS, DRG, etc.).
  • Strong leadership skills, with the ability to motivate and develop team members.
  • Effective analytical and problem-solving skills for contract interpretation and implementation.
  • Excellent communication skills, with the ability to convey complex information clearly to diverse audiences.
  • Proficiency in contract management software and Google Suite.

The Payment Compliance and Contract Management (PCCM) team plays a critical role in ensuring that payments are made according to contractual agreements and regulatory requirements. The team oversees the full contract lifecycle, focusing on analyzing reimbursement discrepancies, improving revenue cycle processes, and ensuring compliance with contract terms to support financial accuracy and operational efficiency.

Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

Job Info
  • Job Identification 166817
  • Job Category Finance and Accounting
  • Posting Date 10/06/2026, 06:50 PM
  • Apply Before 10/09/2026, 05:00 AM
  • Degree Level Bachelor's Degree
  • Job Schedule Full time
  • Job Shift Day
  • Locations 4000 Meridian Blvd, Franklin, TN, 37067, US
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