Contract Admin, Managed Care - Revenue Cycle Operation Support **Galveston, Texas, United States** Business, Managerial & Finance UTMB Health Requisition # 2405923 **JOB SUMMARY** The primary responsibility of the Contract Administrator - Managed Care position is to evaluate, negotiate and secure agreement to new and existing contracts with third party payors, including commercial health plans, managed Medicare health plans, managed Medicaid health plans and county/hospital district entities. **Minimum Qualifications:** • Bachelor’s degree in business, healthcare administration or related field. • Two (2) years related experience and/or training. • Experience with negotiating managed care contracts with third party payors. • Specific experience with fee schedule, case rate, per diem, and capitation reimbursement. **ESSENTIAL JOB FUNCTIONS** • Assists with negotiating contractual terms and reimbursement arrangements for health system and faculty group practice for Single Case Agreements. • Assists with preparing and presenting strategic, financial and operational proposals regarding payor agreements. • Ensures contractual compliance with federal, state, and institutional requirements. • Ensures the coordination and completion of information for clients. • Works with County Affairs office on strategic considerations and operational concerns related to county and hospital district operational concerns. • Tracks and evaluates managed care as it relates to the local market changes. • Establishes contract performance reports. • Assists in collection efforts. • Assists with public policy initiatives. • Assists with strategic planning and business development. **Marginal or Periodic Functions:** • Adheres to internal controls and reporting structure. • Performs related duties as required. **KNOWLEDGE/SKILLS/ABILITIES** • Knowledge of physician professional service compensation models. • Ability to perform patient accounting tasks including billing, collections, and reimbursement analysis. • Excellent written and verbal skills; negotiation skills, computer proficiency (Excel and various software programs, data report writers). • Strong interpersonal and verbal and written communication skills. • Strong analytical and quantitative skills for the development of reimbursement pro **Equal Employment Opportunity** UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities. Compensation