Position Highlights:

The Managed Care Contract Manager is responsible for analyzing, negotiating, and maintaining system-wide Managed Care agreements consistent with Moffitt Cancer Center Guidelines.  The Managed Care Contract Manager is responsible for managing payer relationships, negotiation of reimbursement rates and contract language, communication and education of contract terms and conditions to appropriate internal parties, researching and resolving managed care related issues, and the analysis of contract performance to expectations.  This position will serve as a critical resource in supporting, managing, and driving strategic projects; and the development and execution of key business strategies for Moffitt Cancer Center managed and value-based care portfolio.

The Ideal Candidate:

• Demonstrated skill in evaluating, monitoring, and improving existing contracts.  Proven ability to resolve managed care revenue cycle related issues.
• Comprehensive knowledge and understanding of managed care principles and practices, experience in fee for service and value-based payment models in hospital, physician, and transplant provider types.
• Demonstrated track record of success in negotiating with third parties including preparation and design of the negotiation as well as execution.
• Proven ability to prepare and present managed care strategies for team, stakeholders, and leadership.  High proficiencies with Microsoft tools (primarily Word, Excel, and PowerPoint).
• Demonstrated analytical skills, including financial modeling and reimbursement technologies, proficient in spreadsheet and database programs as well as legal and contractual compliance issues.
• Excellent written and oral presentation skills.  Excellent interpersonal and problem-solving skills.
• Demonstrated success in building positive and effective relationships with physicians, leadership, and team members.  Ability to work effectively in a matrix organizational model.  Must be able to work and communicate effectively with all levels of management and staff.
• Knowledge of both payer and hospital/physician managed care operations.
• Demonstrated knowledge of Federal and State Regulations, including Medicare, Medicaid, and ERISA.  Must have significant experience redlining Managed Care Agreements.
   
  Responsibilities:

• Managed Care Contracting
• Revenue Cycle
• Strategic Planning
• Patient Access
• Managed Care Operations
• Other Duties

Credentials and Qualifications:

• Bachelor’s Degree in Healthcare, Finance or related field required.

• Minimum of 5 years’ of progressively challenging experience in managed care contracting, either in a hospital, health system, or managed care organization.  Skill in composing and editing documents to include contracts, correspondence, and reports.

Preferred:

• Master’s Degree in Healthcare, Finance, or related field of study.