Managed Care Contracting Specialist, Acelis Connected Health
Core
Managing and renegotiating contracts for Durable Medical Equipment (DME) suppliers and Independent Diagnostic Testing Facilities (IDTF) to optimize terms, ensure compliance, and support operational/financial objectives.
Role type
Managed Care Contracting Specialist
Builds
Operational and financial objectives for Heart Failure connected health solutions
Domain
Healthcare / Managed Care / Durable Medical Equipment
Required skills
Contract negotiation, regulatory compliance, relationship management, contract analysis, cost optimization, LOA administration
Preferred skills
Medicare Advantage/Medicaid MCO contracting, HCPCS coding, billing practices, clinical documentation interpretation
Technologies
CRM systems, Contract management systems
Responsibilities
Review and renegotiate DME and IDTF contracts, ensure compliance with federal/state/payer regulations, identify cost savings opportunities, draft and execute Letters of Agreement (LOAs), monitor contract performance and reimbursement trends
Seniority
Mid-level, hands-on IC
