Strategic Managed Care Contract Lead

Lincoln Surgical Hospital/Nebraska Surgery Center; Lincoln (NE); On-site; USD 70,000 - 110,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Paid Time Off (PTO)

Tuition Reimbursement

Flexible Spending Accounts (FSA)

401(k) with Company Match

Short-Term and Long-Term Disability

24/7 Wellness Center Access

Job summary

Lincoln Surgical Hospital in Lincoln, NE seeks a Managed Care Contract Manager to provide strategic leadership and financial oversight for managed care contracting with commercial payers. You will grow contracted business, negotiate reimbursement rates, and align payer partnerships with the organizations' financial goals.

The role requires rigorous contract analysis, strong negotiation skills, and expertise in CPT/ICD/DRG methods.

Qualifications

• Bachelor's degree in Accounting, Finance, Business Administration, or a related field is required.
• Experience with payer contract negotiation is preferred.
• Equivalent combination of education, training, and experience may be considered.

Responsibilities

• Conduct comprehensive contract and reimbursement analyses.
• Evaluate payer agreements and rate structures.
• Develop innovative partnership and reimbursement models.
• Identify contracting opportunities and lead contract negotiations.
• Monitor contract performance and financial modeling.
• Manage payer relationships and respond to market changes.

Skills

Negotiation strategies

Healthcare insurance

Billing & reimbursement

CPT/ICD/DRG classifications

Analytical thinking

Excel & reporting tools

Healthcare administration

Education

Bachelor's degree in Accounting, Finance, Business Administration, or related field

Tools

Microsoft Excel

Database analysis tools

Reporting tools

Job description

Lincoln Surgical Hospital in Lincoln, NE seeks a Managed Care Contract Manager to provide strategic leadership and financial oversight for managed care contracting with commercial payers. You will grow contracted business, negotiate reimbursement rates, and align payer partnerships with the organizations' financial goals.

The role requires rigorous contract analysis, strong negotiation skills, and expertise in CPT/ICD/DRG methods.