Managed Care Contract Specialist
$85 per hourMercor
Job Description
Job Description
About the job
Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey .
Position: Underpayment & Managed-care Contract Specialist
Type: Contract
Compensation: $85/hour
Location: Remote
Role Responsibilities
- Identify, analyze, and recover underpayments and payment variances across commercial, Medicare Advantage , and Medicaid managed care payer contracts.
- Evaluate AI-generated underpayment detection alerts, contract compliance outputs, and payment variance analyses for accuracy.
- Interpret payer contract terms including fee schedules, carve-outs, outlier provisions, and payment methodologies to validate claim payments.
- Conduct contract modeling and payment reconciliation to identify systematic underpayment patterns.
- Develop and submit underpayment claims and recovery correspondence to payers.
- Collaborate with managed care contracting teams to identify contract language gaps and renegotiation opportunities.
- Monitor underpayment recovery KPIs including identified underpayment dollars, recovery rates, and payer response rates.
- Ensure compliance with payer contract terms, HIPAA , and timely filing requirements for underpayment recovery.
- Annotate AI outputs and provide structured feedback to support AI training datasets .
Qualifications
Must-Have
- 5+ years of experience in underpayment recovery, payment variance analysis, or managed care contracting, with demonstrated expertise in contract interpretation.
- Deep knowledge of payer payment methodologies including DRG-based , per diem, percent-of-billed charges, and fee schedule reimbursement.
- Strong experience with contract modeling, payment reconciliation, and payer dispute resolution.
- Familiarity with managed care contract management systems and payment variance detection tools.
- Proficiency with Excel-based financial analysis and revenue cycle analytics platforms.
- Exceptional written and verbal English communication skills.
- High attention to detail with the ability to identify payment discrepancies in complex contract structures and AI-generated outputs.
Preferred
- CHFP , CRCR , or managed care contracting certification.
- Experience with contract management software (e.g., Experian Health , Recondo , or similar).
- Background in hospital, health system, or large physician group underpayment recovery operations.
- Familiarity with AI tools and comfort evaluating AI-generated payment variance content.
- Experience negotiating payer contracts and presenting underpayment analysis to executive leadership.
Application Process (Takes 20–30 mins to complete)
- Upload resume
- AI interview based on your resume
- Submit form
Resources & Support
- For details about the interview process and platform information, please check:
- For any help or support, reach out to: View email address on us.fitly.work
PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Managed Care Contract Specialist in New York, NY vacancy
- ...Contract Specialist The Administration for Children's Services (ACS) protects and promotes the safety and well-being... ...juvenile justice services and community supports. ACS manages community-based supports and foster care services, and provides subsidized child care...SuggestedContract workWork at officeLocal area
New York City | Technology, Data & Innovation
New York, NY15 hours ago - ...ESS Senior Contract Management Specialist The focus of the Senior Contract Management Specialist will be to support Sungrow’s contract negotiation, execution, and management within the ESS business. This position will work closely with the sales team as well as other...SuggestedFull timeContract workRemote workWorldwideHome officeFlexible hours
Sungrow Power Supply Co., Ltd.
New York, NY15 hours ago - ...VCA Animal Hospitals is seeking a Client Service Representative to be the welcoming face of the hospital. You will manage front-desk operations, appointment scheduling, payments, and provide product/service information to clients and their pets. The role supports clinical...Suggested
VCA Animal Hospitals
New York, NY1 day ago $55 per hour
...Memory Care Specialist Inspired Memory Care (IMC) is dedicated to providing life-enriching... ...various settings. This is a per diem, contract role for a field-based Memory Care... ...all hiring decisions will be made by the management. All inquiries about employment at this...SuggestedHourly payDaily paidContract work- ...SNFout is seeking a Patient Care Coordinator in New York to manage an assigned caseload and ensure consistent home care services. You will coordinate staffing, monitor utilization, and maintain clear communication with patients, caregivers, MLTCs, and internal teams....Suggested
SNFOut
New York, NY1 day ago - ...mission is to make city government work for all New Yorkers. From managing New York City’s most iconic courthouses and municipal buildings... ...and operational through seven units: Building Services, Contract Services, Energy Management, Fire and Life Safety, Mechanical Maintenance...Contract workFor contractors
$55 - $65 per hour
...on this job and more exclusive features. Base pay range $55.00/hr - $65.00/hr Senior Technology Sourcing and Vendor Management Analyst 12 month contract with potential to renew New York, NY, 10019 - Hybrid Onsite Onsite 3 Days a Week in either New York City office or Charlotte...Contract workWork at office3 days per week- Resilient Infrastructure Implementation and Skill Exchange (RIISE) Position Title Contract Management Specialist Job Category Infrastructure and Project Management Duty Station(s) Home based Seniority Level ICS 10 Contract Type ICA - LICA - Specialist - Retainer...Ongoing contractFull timeContract workTemporary workPart timeFor contractorsWork experience placementWork at officeLocal areaRemote workWork from homeFlexible hours
- To accelerate payer contracting efforts, the full-time remote Payer Contracting Specialist will manage provider data integrity, audit payer directories, and support contracting and credentialing processes. Key responsibilities Own provider data integrity across all systems...Full timeRemote work
- ...Full-Time Customer Service Representative to join our compassionate team at the front desk. You will create warm first impressions, manage patient records, and support clients with empathy and efficiency. The role emphasizes organization, multitasking, and professional...Full time
- NYU Langone Health is seeking a dedicated Patient Care Assistant to greet patients, manage registration, and support clinical and administrative tasks. The role involves taking vital signs, preparing exam rooms, and facilitating communication with the care team. The position...
- East River Medical Imaging, PC. in New York City seeks a capable Care Specialist to manage patient communications, scheduling, and data entry. You will verify patient information, respond to inquiries, and coordinate with physicians and staff to ensure a smooth patient...
- Bridging the gap between members and their healthcare benefits, the full-time Healthcare Operations Specialist will manage benefit coverage inquiries, claims, and authorizations while fostering member relationships to enhance retention. Key responsibilities Handle benefit...Full time
$22 per hour
Position: Youth Care Specialist Compensation: $22+ based on experience Dept: The Pines Type: Non-Exempt Reports To: Pines Supervisor Location... ...strive to make every day memorable in positive ways, and to manage students’ difficulties as a team. We are accountable, timely,...Immediate startFlexible hoursShift work- ...Aquatic Therapy is hiring a Clinic Support Associate for immediate, long-term employment. You will help manage front desk operations and assist clinicians with patient care — ensuring a smooth, welcoming experience for every patient. If you're looking for a hands-on role...Immediate start
- ...Health in Somerset, New Jersey is hiring a Medical Receptionist to be the friendly first contact for patients and visitors. You will manage calls, schedule appointments, verify information, maintain records, process payments, and support clinic operations in a fast-paced...
- To support the organization's goals, the full-time Care Engagement Specialist will manage member outreach, schedule preventive service appointments, and educate members on health plan benefits while working remotely. Key responsibilities Make outbound and receive inbound...Full timeRemote work
$90k - $130k
...positive impact in the world. As a Commercial Contracts Specialist, you will be a non-attorney partnering... ...in an understandable way, and can manage high touch stakeholders in a constantly... ...for new parents and subsidized back‑up care for all parents Fertility and family...Contract workWork experience placementWork at officeRemote workWork from homeRelocation packageShift work$85k - $95k
...is seeking a Registered Nurse to join their dedicated team. The RN will provide crucial medical oversight, manage medication, and train staff to ensure optimal care for individuals with disabilities. A valid NYS RN License is required, along with preferably Med/Surg...Full timeMonday to Friday- To support a growing care management program, the full-time Care Management Support Specialist will manage service requests, maintain case documentation, and compile reports while ensuring audit readiness in a remote environment. Key responsibilities Respond to service...Full timeWork at officeRemote work
- ...engagement. We are seeking a detail-oriented and highly organized Contract Administrator (Remote) to join our Gracenote Contracts team in... ...The successful candidate will be responsible for drafting and managing the full lifecycle of contracts, from initial drafting to...Full timeContract workWork at officeRemote work
The Nielsen Company
New York, NY3 days ago - ...Job Title Institutional Contracting Manager Job Description Key Responsibilities Manage a portfolio of institutional contracting... ...on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a retirement savings...Contract work
- ...access to tracking payments, transferring money internationally, managing business transactions and more. We’ve made a big impact in a... ...Third Party Management Requests Slack thread Track vendor and contract records — pricing, terms, spend by department/category — and...Contract workFreelanceRemote work
Novo Platform Inc
New York, NY1 day ago $70k - $100k
...that will contribute to the diversification and enrichment of ideas and perspectives at AHEAD. The Financed Contracts Billing and Collections Specialist manages the billing, payment tracking, collections, reconciliation, and cash-application activities associated...Full timeContract workWork at office- ...the friendly first contact at our Valdosta area clinic. You will manage multi-line calls, schedule appointments, collect payments, and... ...comfort with veterinary terminology or EMR systems (Avimark, Cornerstone). #J-18808-Ljbffr 172180 Veterinary Care Center of Valdosta
- ...Veterinary Associates in New York is seeking a front desk assistant to greet clients, answer questions, schedule appointments, and manage payments. You will handle calls, mail, and emails, while keeping client records up to date in the practice management system. The role...
- ...Job Title: Contract Specialist Location: New York, NY 10019 Duration: 4+ Months Contract to Perm Job Summary The Contract Specialist will... ...distributors Maintain customer eligibility in proprietary data management systems Minimum Requirements Bachelor's Degree in...Permanent employmentContract workWork at office
TPI Staffing
New York, NY2 days ago - Passionate about improving lives, the full-time remote Client Care Specialist will provide exceptional support to seniors and their caregivers by managing client interactions, resolving inquiries, and ensuring a high-quality experience with innovative communication technology...Full timeWork at officeRemote workFlexible hoursAfternoon shift
- AO (American Income Division) offers a 100% remote client care representative role with comprehensive training and ongoing development. You will manage client communications via phone and Zoom, educate on benefits, and assist with enrollment and onboarding, while thriving...Weekly payRemote work
$24 - $28 per hour
...Description Job Title: Supply Chain Planner Job Description This role manages end-to-end purchasing, planning, and inventory control... ...environments managing over 1,000 SKUs. Job Type & Location This is a Contract to Hire position based out of Carlstadt, NJ. Pay and Benefits...Contract workTemporary work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Managed Care Contract Specialist. Be the first to apply!
Related searches
- morning caregiver New York, NY
- caregiver visa sponsorship New York, NY
- caregiver New York, NY
- caregiver home care New York, NY
- cna caregiver New York, NY
- caregiver facility New York, NY
- caregiver no experience required New York, NY
- caregiver nights New York, NY
- plant health care specialist New York, NY
- caregiver needed asap New York, NY