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Managed Care Contracting and Performance Advisor at Guidehouse - ApplyBlast

Managed Care Contracting and Performance Advisor

Guidehouse

3 days ago

3.2 on Glassdoor

Remote

Full Time

Senior

0 applicants

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About this role

The Managed Care Contracting and Performance Advisor is responsible for the strategic management, evaluation, negotiation, and performance monitoring of managed care contracts. This role partners with internal teams and payer organizations to optimize reimbursement, mitigate contractual risk, and maximize revenue opportunities across hospital and physician service lines. The position serves as a subject matter expert in managed care reimbursement methodologies and contract compliance to drive financial outcomes and improve payer relationships.

Responsibilities

Evaluate and negotiate managed care contracts to optimize reimbursement and mitigate risk
Conduct financial modeling and reimbursement analyses to assess contract amendments and rate changes
Monitor contract performance and resolve underpayment disputes to improve revenue yield

Skills

About Guidehouse

guidehouse.com

Headquarters

Mclean, Virginia, United States

Company Size

10001+ employees

Founded

2018

View Profile

Guidehouse is a leading advisory firm that specializes in integrating commercial and public sector solutions to tackle complex challenges faced by clients. As a unique scaled advisory organization, it leverages insights from both government and commercial perspectives within its various industry segments. Guidehouse provides a range of technology and managed services, focusing on key sectors such as healthcare, financial services, defense, and infrastructure. The firm is recognized for its innovative approach to problem-solving, which combines strategic expertise with practical implementation.