Contract Manager

Job Description Summary

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Job Description

Managed Care represents MUSC Health’s owned and managed facilities, physician groups, and ancillary services in negotiations with payers. The position supports MUSC Health’s goals of assuring patient access to our entities and financial stability of our system by leading negotiation and maintenance of high-performing contracts with managed care and other payers.

The position is responsible for overseeing and developing a system-wide portfolio of payer relationships and associated initiatives and must work with stakeholders across the health system to ensure contractual and strategic goals are met.

The position also must work collaboratively with other members of the Managed Care Department to ensure all contracts are appropriately identified, negotiated, implemented, audited and renegotiated in a timely manner.

Additional Job Description

College Degree and 5 years of related experience necessary to complete job functions.  Knowledge of the commercial and governmental health care industry, including fee for service, risk based and other payments models. Experience in multi-provider system a must.

Comprehensive understanding of healthcare revenue cycle processes, including claims payment processes Comprehensive understanding of healthcare managed care and contracting.  

Specialized knowledge of contracting models for transplant, mental health, ASC, imaging centers and the like a plus.   Knowledge of Microsoft office applications.  

Ability to write SQL type query/Crystal reports a plus.   

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

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