TI Manager overseeing operational support and systems stability for MDS, a leading risk management company. Responsible for incident management, process efficiency, and service quality.
About the role
- Contract Manager at Texicare responsible for negotiating and managing agreements with healthcare providers. Building and maintaining a high-quality, cost-effective network for Texicare's healthcare plans.
Responsibilities
- Develop, negotiate, and maintain provider contracts in alignment with organizational policies and financial guidelines.
- Manage provider relationships, ensuring contract terms are met and resolving service issues.
- Coordinate with internal teams (e.g., Legal, Operations, Medical Management) to support contract implementation and network integrity.
- Analyze financial, operational, and utilization data to assess contract performance and support strategic decisions.
- Ensure accurate and timely contract submissions, amendments, and renewals.
- Maintain comprehensive knowledge of plan products, policies, and market trends to guide provider engagement and contracting strategies.
- Support corporate initiatives, ensuring timely and cost-effective execution of projects and goals.
Requirements
- A bachelor’s degree or any equivalent combination of education, training, and experience.
- At least 2 years for an intermediate level or 4 years for a senior level candidate with experience in managed care contracting and negotiating experience or any equivalent combination of education, training, and experience.
- Experience in developing, managing and nurturing key provider relationships.
- Knowledge of various reimbursement methodologies, including incentive-based models preferred.
- An understanding and experience with managed care, and provider business models.
- A collaborative approach with proven ability to develop strong working relationships within a fast-paced organization.
- Customer centric and interpersonal skills are required.
- Demonstrates an ability to maneuver effectively in a changing environment.
- Adept in Practiced problem solving, decision-making, negotiating, contract language and financial acumen.
- Knowledge of Microsoft Office tools
Benefits
- Automatic 4% employer contribution to retirement plan
- 401k plan with 100% match up to 6%
- Flexible time off for vacation, illness, etc.
- Nine paid holidays
- Day one health, Rx, vision, and dental insurance
- Life and disability insurance
- Flexible spending account
- Pet coverage and pet Rx discounts
- Free identity theft protection
- Free 2nd medical opinion service
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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