Position Summary: The Sr. Manager, Contracts Managed Care is responsible for negotiating moderate to complex payer contracts on behalf of the Foundation. This includes capitation, FFS and other reimbursement methodologies. Perform and/or arrange for legal language review on all contracts prior to execution. Oversee the implementation of new contracts with appropriate internal departments, including but not limited to: UM, IT, QM, Billing, Operations and ACO. Works with Billing and other internal departments to resolve moderate to complex payment and utilization issues.
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