Managed Care Contracting Analyst

Description

Who we are! 

Nimble Solutions, with over 20 years of specialized, surgical-focused revenue cycle management experience spanning the Ambulatory Surgical Center industry and related services, seeks a dynamic individual to join our team as a Managed Care Contracting Analyst. We operate nationwide, managing over $10 billion in net revenue, and are committed to innovating and excelling in our field. If you thrive in a challenging, fast-paced environment and are passionate about healthcare, we want you on our team.

The role! 

As a Senior Managed Care Contracting Analyst, you will play a pivotal role in implementing and maintaining nimble's managed care contracting strategy across multiple states. In addition to the responsibilities outlined below, you will have the opportunity to actively contribute to the development and optimization of our managed care network.

On a typical day, you will: 

• Manage and meticulously maintain accurate files for each pending and executed managed care contract, providing timely updates as required to ensure the integrity of our network
• Serve as a liaison between nimble Solutions and insurance carriers to resolve billing discrepancies and other contractual issues on behalf of our clients
• Develop and execute strategies to optimize resource allocation, enhance efficiency, and capitalize on reimbursement opportunities, all while minimizing costs
• Proactively evaluate and negotiate managed care contracts with a variety of stakeholders, including health plans, hospitals/healthcare systems, medical groups/IPAs, government programs, and other payers
• Lead contract negotiations for multiple million-dollar outpatient facilities and physician group agreements, ensuring favorable terms and conditions
• Conduct thorough market analysis and benchmarking to inform negotiation strategies and identify emerging opportunities
• Collaborate cross-functionally with internal teams, including Finance, Legal, and Operations, to align managed care initiatives with organizational objectives
• Stay abreast of industry trends, regulatory changes, and competitor activities to inform strategic decision-making and maintain nimble's competitive edge

Requirements

Who you are: 

• Bachelor’s degree in business, health administration, a related field, or equivalent managed care contracting experience
• 3+ years of experience in a managed care environment
• Exceptional interpersonal skills with the ability to effectively engage with stakeholders at all levels
• Strong decision-making abilities, with a knack for devising creative solutions to complex problems
• Detail-oriented mindset and adept at managing multiple priorities simultaneously
• Proficiency in Excel and other relevant software applications
• Team player with a collaborative spirit and a commitment to excellence

Work Environment: 

• On-site position in an office setting, with opportunities for professional development through departmental training and staff meetings
• Adherence to all compliance and company policies and procedures is essential

Join us at Nimble Solutions and be part of a team dedicated to making a meaningful impact on the healthcare industry. We prioritize the well-being of our employees, clients, and communities, and we look forward to welcoming individuals who share our passion and commitment. Apply today to embark on a rewarding career journey with us!