WHAT YOU’LL DO
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- Lead the negotiation and execution of contracts with healthcare payers, ensuring favorable terms and reimbursement rates for Circle Medical.
- Develop and maintain strong relationships with payer organizations ensuring alignment with our strategic objectives.
- Analyze payer contracts and reimbursement methodologies to identify opportunities for optimization and improvement.
- Collaborate with internal stakeholders, including Finance, RCM, and Operations to ensure alignment on contract terms and compliance with regulatory requirements.
- Monitor payer performance against contractual obligations and key performance indicators, proactively addressing any issues or discrepancies.
- Stay informed about industry trends, regulatory changes, and emerging best practices in healthcare regulations, incorporating this knowledge into contract negotiations and strategy.
- Provide guidance and support to team members involved in contract management and negotiation processes.
WHAT YOU’LL BRING
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- Experience in Healthcare Administration, Business Administration, Finance, or a related field.
- Minimum of 5 years of experience in healthcare contract management, with a focus on payer contracts.
- In-depth understanding of healthcare reimbursement methodologies and payer contract language.
- Proven track record of successfully negotiating contracts with healthcare payers, achieving favorable outcomes for the organization.
- Strong analytical skills, with the ability to interpret complex contract terms and financial data.
- Excellent communication and interpersonal skills, with the ability to build relationships and influence stakeholders at all levels of the organization.
- Detail-oriented and highly organized, with the ability to manage multiple projects and priorities effectively.
- Knowledge of healthcare regulatory requirements and compliance standards.
- Certification in healthcare management or contract management is a plus.
COMPENSATION
Circle Medical offers a competitive salary and benefits package, as well as opportunities for professional growth and development. In alignment with our values, Circle Medical has transparent salaries based on merit-based output levels, and our total rewards include equity options.
This is a full-time, salaried exempt position with an annual salary range of $92,000 to $120,000, dependent on location, plus generous vacation, full health benefits, and 401K with company matching.
Benefits:
- Flexible vacation, eligibility after 90-days
- 10 annual paid Holidays
- $500 annual education and development reimbursement
- Medical, Dental, Vision benefits, Life & additional supplemental coverage options
- 401K + Company Matching Program
Circle Medical is an equal-opportunity employer and affirmatively seeks diversity in its workforce. Circle Medical recruits qualified applicants and advances in the employment of its employees without regard to race, color, religion, gender, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, ethnic or national origin, marital status, veteran status, or any other status protected by law.
