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Senior Contract Manager - Managed Care
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$97,589.96 - $162,649.75 a year
Full-time
- In this role, the successful candidate The Senior Contract Manager-Managed Care assists with the development and implementation of managed care strategy for NYU Langone Hospitals Tisch, Orthopedic, Brooklyn Long Island and Long Island Community Hospital at NYU Langone Health including all Article 28 freestanding facilities such as the Perlmutter Cancer Center, NYU Langone Home Care and the Long Island Community Hospital Hospice.
- Acts as a liaison between the managed care plans and various departments within the hospital such as Patient Access/Insurance Clearance, Care Management, Revenue Cycle and hospital administration to resolve Managed Care contract compliance and interpretation issues, reimbursement disparities and managed care procedures and policies.
- Negotiate hospital contracts with the Managed Care payers and solicit suggestions and recommendations from hospital senior management pertaining to managed care contracting.
- Work in collaboration with the hospital departments such as Revenue Management Initiatives (RMI) to ensure charges are appropriately set to maximize reimbursement and mitigate lesser of contract terms in the Managed Care contract.
- Work with RMI to ensure the charge master is configured consistent with the contract terms and services provided at the health system.
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