Managed Care Specialist (Contracting) 
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Summary
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GENERAL SUMMARY
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Under the direction of the Director of Contract Development, the Managed Care Specialist provides research in response to questions and program development initiatives associated with payer contracts, facilitates payer-related meetings with internal and external constituents, and administers and provides oversight of payer enrollment activities and processes. Reports to the Director of Contract Development.
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ESSENTIAL DUTIES AND RESPONSIBILITIES
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Coordinates and monitors payer enrollment activities.
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Conducts research, prepares analysis, and makes recommendations to management related to managed care initiatives.
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Communicates, monitors, and follows-up of payer-related issues with payer representatives for resolution.
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Conducts and facilitates follow-up activities with payer-related meetings, including the Payer Manual Review Committee and Payer Joint Operating Committee meetings.
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Reviews and prepares single case payer agreements.
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Performs other duties as assigned.
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LICENSES AND/OR CERTIFICATIONS
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None required.
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MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS
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High school diploma or equivalent required.
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Bachelor’s degree from an accredited college or university preferred.
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1-3 years of experience in managed care contracting required.
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Ability to prioritize, multitask, and meet deadlines with accuracy.
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Strong interpersonal, organizational, and critical thinking skills.
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Proficiency with Microsoft Office Suite including Word, Excel, and PowerPoint.
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WORKING CONDITIONS
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Normal office environment with little exposure to excessive noise, dust, temperature and the like.
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PHYSICAL REQUIREMENTS
