Managed Care Contract Specialist - Venza Care Management LLC

Are you a strategic thinker with a passion for healthcare innovation? Join Venza Care as our Managed Care Contract Specialist, where you will play a pivotal role in shaping our managed care partnerships to drive excellence in patient care and operational success.

Compensation & Benefits

1. Salary: $75,000 - $100,000 annually
2. Benefits Package Includes:
3. Comprehensive medical, dental, and vision coverage
4. 401(k) retirement plan
5. Paid time off, starting day one
6. Supplemental insurance options
7. Professional development opportunities to support career advancement
8. Discounts on premium services and amenities

Key Responsibilities

1. Contract Negotiation & Management:
2. Negotiate and draft terms with managed care organizations (MCOs) to optimize agreements.
3. Ensure contracts comply with legal, regulatory, and organizational requirements.
4. Conduct detailed reviews and recommend modifications to contract language to improve financial performance and mitigate risks.
5. Compliance & Regulatory Oversight:
6. Monitor federal, state, and local regulations impacting managed care agreements and ensure all contracts remain compliant.
7. Financial & Operational Analysis:
8. Analyze payment trends and reimbursement methodologies to maximize financial outcomes.
9. Collaborate with financial teams to assess contract profitability and identify growth opportunities.
10. Strategic Collaboration:
11. Act as the primary liaison between Venza Care and managed care organizations.
12. Work closely with clinical, operational, and billing teams to align contract terms with service delivery capabilities.
13. Strategic Planning & Innovation:
14. Develop strategies for innovative payment models such as value-based care.
15. Identify and cultivate new partnerships to enhance managed care opportunities.
16. Documentation & Reporting:
17. Maintain a detailed database of contracts and correspondence.
18. Present regular updates to leadership on contract performance and payer trends.

Qualifications

1. Education:
2. Bachelor’s degree in Healthcare Administration, Business, or a related field.
3. Experience:
4. Minimum of 3-5 years in managed care contracting or healthcare administration.
5. Proven success in contract negotiation and management.
6. Skills:
7. In-depth knowledge of managed care principles, Medicare, Medicaid, and commercial insurance systems.
8. Strong analytical, negotiation, and problem-solving abilities.
9. Expertise in contract management systems and Microsoft Office Suite.
10. Effective communication and collaboration skills.
11. Knowledge:
12. Familiarity with value-based care models and risk-sharing agreements is a plus.

Why Venza Care?

Venza Care is a dynamic and growing healthcare organization committed to excellence in patient care, operational innovation, and community support. As part of our team, you’ll work in a collaborative environment that values innovation, integrity, and impact.

Apply Today

Ready to lead transformative healthcare initiatives and drive impactful results? Join us at Venza Care and shape the future of managed care partnerships. Apply now and be part of our journey toward excellence in healthcare delivery.

Venza Care is an equal opportunity employer committed to creating a diverse and inclusive work environment. We welcome applications from all qualified candidates without regard to race, color, religion, age, sex, national origin, disability status, genetics, veteran status, or any other characteristic protected by law.