The Managed Care Contracting Associate works in conjunction with the Manager of Contracting and Director of Contracting in the initiation, negotiation, and execution of agreements with LHC Group partners, including MCOs, ACOs, ASOs, other appropriate parties.
The Contracting Associate position requires an understanding of healthcare reimbursement, payor contracting, and how organization capabilities interrelate across the function or segment as well as how to manifest those capabilities into payor agreements.
Responsible for contract review and execution for assigned payors,
Works in conjunction with Managed Care Payor Contracts Manager to negotiate contract terms, payment structures, and reimbursement rates with payers
Assists with analyzing financial impact of contracts and terms
Maintains contracts and documentation within a tracking system
Supports the team and the internal customers/stakeholders with communicating contracting timelines and expectations
Works closely with other team members in Managed Care to ensure optimal processes across the department
Qualifications:
Qualifications for Candidates
Education
Bachelor's Degree required
Experience
2+ years provider/payer contracting experience
Working knowledge of ACO/Risk Contracting and Value based contracting preferred
Skill Requirements
Highly Organized
Effective communication
Interpersonal skills
Foundation of Negotiating skills
Teamwork
Collaboration
Proven contract preparation skills
Working knowledge of Medicare, Medicaid, VA, Medicare Advantage, and commercial insurance reimbursement
Problem Solving/Thinking Skills
Organization and prioritizing skills
Ability to utilize good judgement when making decisions based on urgency, fact, guidelines, goals and regulations
Ability to work in a team environment as well as work independently
Strong communication skills – including both written and verbal etiquette
Extremely detail-oriented and efficient
Ability to work on repetitive tasks as well as miscellaneous projects with minimal direction
Ability to be agile and change focus quickly
Strong sense of urgency and ability to meet deadlines
