Managed Care (Payor) Contract Negotiator
a month ago
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OnsiteFull-timeMid
Summary
TriHealth is seeking a Managed Care (Payor) Contract Negotiator to join their team in Cincinnati, OH. The role involves negotiating Managed Care contracts and maintaining relationships with payors and health plans.
About the Role
As a Managed Care (Payor) Contract Negotiator, you will be responsible for drafting and negotiating contracts, ensuring compliance with healthcare regulations, and collaborating with various teams to operationalize Managed Care contracts. You will act as a liaison between the health system and payors, addressing operational issues and maximizing contracting terms. The role requires strong communication skills and the ability to manage multiple tasks in a dynamic environment.
About You
Required:
- Bachelor's Degree in Health Care Administration, Health Policy, Law, Public Health, or Business Administration.
- 3-4 years of experience in Managed Care contracting.
- Proficiency in Excel, Word, and PowerPoint.
Preferred:
- Experience with CPT-4, HCPCS, Revenue and ICD coding.
- Knowledge of value-based contracting and payor networks.
Benefits
- Comprehensive health benefits including medical, dental, and vision coverage.
- Opportunities for continuous learning and professional development.
TriHealth
The mission of TriHealth is to improve the health status of the people we serve. We pursue our mission by providing a full range of health-related services, including prevention, wellness, education and social programs. Through our acute care hospitals, Good Samaritan Hospital, Bethesda North Hospital, Bethesda Butler Hospital, McCullough-Hyde Memorial Hospital, and Good Samaritan Hospital at Evendale, as well as over 140 other TriHealth locations, we are accessible for all in our Cincinnati community. TriHealth is here for you in all phases of your healthcare journey. Our approximately 12,000 team members, 2,000 physicians and 1,600 volunteers are dedicated to delivering personalized, compassionate care to you and your family.
Cincinnati, OH