Managed Care Contracting Analyst

Description

Nimble solutions has over 20 years of specialized, surgical-focused revenue cycle management experience that spans across the Ambulatory Surgical Center industry and other affiliated services adjacent to the ASC space, such as anesthesia billing services, professional billing services, transcription services, and many others.

We provide services in nearly every US state, and our team of experts works around the globe, managing over $10 billion in net revenue as we continue to build and innovate a world-class organization with people like you.

Together, we embrace challenges, fuel innovation and strive to exceed expectations. Healthcare means a lot more to us. We care about creating an environment where our coworkers, clients, and communities social, financial, and physical health is at the forefront of everything we do.

The Managed Care Contracting Analyst is responsible for implementing and maintaining nimble’s managed care contracting strategy in a multi-state environment. We are looking for candidates to join the Managed Care Department that are eager to learn in a fast-paced environment.

Requirements

• Manage and maintain accurate files for each pending and executed managed care contract and provide network updates as required
• Assist in resolving billing or other contractual problems with insurance carriers on behalf of clients 
• Develop strategies to optimize resources, maximize efficiency at a lower cost, and increase reimbursement opportunities
• Actively evaluate and negotiate managed care contracts with health plans, hospitals/health care systems, medical groups/IPA's, government programs, and other payers

Education and Skills Required:

• Bachelor’s degree in business or health administration, Or 2 years of experience in a managed care environment 
• Interpersonal skills with the ability to interact effectively with all levels of employees, clients, payers, and providers
• Decision-making skills: possesses the ability to devise creative and alternative solutions to pressing problems
• Detail-oriented and ability to prioritize multiple tasks simultaneously
• Proficient in Excel  
• Ability to work in a team environment

Work Environment: 

• Office setting- This is an onsite position.
• Participate in departmental training and staff meetings
• Adhere to all compliance and company policies and procedures