Contract Specialist - Medicare
New
Based in the United StatesFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- 3–5 years
- Required Skills
- Analytical SkillsNegotiation
Requirements
- Bachelor’s degree in Accounting, Finance, Healthcare Administration, or a related field.
- 3–5 years of experience in contract administration, healthcare operations, insurance, or a related regulated industry.
- Strong knowledge of federal and state healthcare regulations, with a focus on Medicare policies and compliance requirements.
- Excellent analytical and problem-solving skills with the ability to manage complex contractual data and performance metrics.
- Strong negotiation, communication, and interpersonal skills with the ability to engage effectively with healthcare providers and stakeholders.
- High attention to detail and ability to manage multiple priorities in a structured, regulated environment.
- Ability to work collaboratively in cross-functional teams and support shared operational goals.
- Strong understanding of contract lifecycle management and provider agreement structures.
Responsibilities
- Develop, manage, and maintain healthcare provider contracts, including negotiation of rates, terms, and conditions while ensuring compliance with organizational and regulatory standards.
- Monitor contract performance using established KPIs and metrics, and communicate results and insights to key internal and external stakeholders.
- Ensure compliance with federal and state regulations, including Medicare policies, through ongoing research, analysis, and application of regulatory requirements.
- Build and maintain strong relationships with healthcare providers and partners to support effective communication and issue resolution.
- Support the development and implementation of contract management policies, procedures, and best practices.
- Identify and address operational issues related to contracts, ensuring timely resolution and continuous improvement.
- Collaborate with cross-functional teams to ensure accurate and timely claims processing and contract execution alignment.
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