Contract Specialist, Managed Care

nimble solutions

Contract Specialist implementing and maintaining managed care contracting strategy for Nimble Solutions. Managing contracts and negotiating with payers in a multi-state environment.

Posted 6/25/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

The Contract Specialist is responsible for implementing and maintaining nimble’s managed care contracting strategy in a multi-state environment
Manage and maintain accurate files for each pending and executed managed care contract; provide timely network updates to clients
Serve as the external negotiator with payers on behalf of healthcare facilities and individual providers, handling all aspects of outreach, communication, and contracting logistics
Analyze contract terms, reimbursement structures, and financial impact using data models and payer data
Develop clear, actionable recommendations based on your analysis and present findings directly to the provider client
Partner closely with clients to understand their goals and challenges, and tailor negotiation strategies accordingly
Assist in resolving billing or contractual issues with insurance carriers, advocating on the client’s behalf
Evaluate, negotiate, and renegotiate managed care contracts with health plans, hospitals/health systems, IPAs, government programs, and other payers
Load and validate payer contract terms, rates, and fee schedules into client systems with accuracy and consistency
Ensure organized documentation and version control for all contract files and related payer communications
Track and interpret regulatory updates, policy changes, and market trends that may affect client reimbursement
Support additional client projects, including payer escalations, audits, and strategic network decisions

Requirements

What you’ll need

Strong analytical and critical thinking skills with the ability to interpret complex data and synthesize into client-ready insights
Demonstrated experience negotiating externally with payers or acting as a liaison between payers and providers is highly preferred
Excellent communication and presentation skills — ability to explain data-driven recommendations to non-technical stakeholders
Highly organized and detail-oriented; able to manage multiple priorities and deadlines in a fast-paced environment
Familiarity with managed care contracts, reimbursement methodologies, and payer systems strongly preferred
Proficiency in Excel and financial modeling tools
Bachelor's degree in Healthcare Administration, Business, Finance, or a related field preferred

Benefits

Comp & perks

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Hard Skills & Tools

data analysisfinancial modelingcontract negotiationreimbursement methodologiesmanaged care contractingpayer data analysiscontract terms evaluationbilling issue resolutiondocumentation managementversion control

Soft Skills

analytical skillscritical thinkingcommunication skillspresentation skillsorganizational skillsdetail-orientedtime managementclient advocacynegotiation skillsproblem-solving