Description & Requirements The Managed Care Contracting team assists provider clients (health systems, physician practices, accountable care organizations, and more) in the planning and execution of their critical managed care functions. These functions range from contract negotiation and modeling to rate benchmarking and strategic planning. The team is seeking a data-driven, client service-focused candidate with a strong interest in provider contracting and contract negotiations.
What You Will Do: - Support ongoing contract negotiations on behalf of clients, to include leading payor outreach and ongoing communications, regular follow-up efforts, transmitting and summarizing initial proposals and counterproposals clearly and concisely, executing contract language review and redlining, and summarizing negotiated rates and terms
- Develop and refine financial models to evaluate reimbursement scenarios, contribute to rate benchmarking engagements, and support negotiations
- Attend, and occasionally lead, routine client meetings, document conversation points & takeaways, and identify and complete follow-up items where appropriate
- Provide weekly internal updates to management team about ongoing client engagements
- Prepare client deliverables, aligning with firm standards for content accuracy, structural clarity, and visual presentation
- Conduct market research initiatives, synthesizing findings into strategic briefs that inform internal project direction and enhance the value of client-facing deliverables
Minimum Qualifications: - Bachelor's degree from an accredited university preferred Business, Finance, Healthcare Administration or related field
- 2+ years of relevant work experience in the healthcare industry
- Experience in managed care contracting and/ or revenue cycle or healthcare consulting
- Proficient experience in Excel and/or other analytics platforms required
Preferred Qualifications: - Either directly or indirectly negotiating (supporting) contracts on behalf of payers or providers
- Experience working with large claims datasets including use of pivot tables, lookups and healthcare modeling logic
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Illinois Wage Transparency Pursuant to Illinois' Equal Pay Act, the salary range displayed is for the Illinois market. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Non-exempt/hourly positions will be eligible for time and half pay for employees that work over 40 hours in a workweek. Benefits are eligibility-based and could include group health plan benefits, 401(K), bonuses, profit-sharing contributions, flexible time off, and parental leave. For more information on benefits, please visit https://resourcecenter.forvismazars.us/. Forvis Mazars reserves the right to make changes to the salary range based on business needs.
IL Minimum Salary (USD)
$ 91600
IL Maximum Salary (USD)
$ 152600
