Blue & Co., LLC · 1 month ago
Managed Care Specialist
Louisville, KY, US
Full-time
Hybrid
Entry, Mid Level
2+ years expBlue & Co., LLC is a top independent accounting and advisory firm specializing in healthcare. They are seeking a Managed Care Specialist to provide expertise in Managed Care contracts and operational best practices, working closely with healthcare providers to address reimbursement issues and improve operational efficiency.
AccountingTax Consulting
Responsibilities
Read and interpret Managed Care contract terms, payment logic, and hierarchies to assess risks and to determine opportunity areas of focus for healthcare providers
Interview provider personnel to obtain additional information on insurance carrier relationships and historical reimbursement trends
Work with clients to articulate issues requiring attention and develop processes and work plans to address identified issues
Assist clients with the negotiation of contracts, identifying and prioritizing clients’ underlying needs and goals in order to achieve a positive outcome for the client
Develop and maintain personal relationships with payors and providers that engender cooperation and trust, and are conducive to 'win-win' scenarios
Review, test, and analyze large utilization data sets from healthcare providers
Oversee and prepare financial models utilizing various database software systems
Development of exhibits and narrative reports outlining our analysis & reimbursement impacts
Daily verbal and written communication with healthcare providers & health plans
Review insurance contracts, applicable state laws and other financial documentation to determine the proper advice back to clients
Qualification
Required
2-6 years of Managed Care related experience that includes the review and negotiation of payor contracts
Understanding of contract language and Managed Care contract modeling
Basic understanding of the fundamentals of Values-Based Contracting
Strong analytical skills; exceptional attention to detail and demonstrated ability to prioritize tasks to ensure accuracy and timely completion
Investigational and analytical skills with a proven ability to communicate effectively in both written and verbal format with internal and external clients
Strong organization and documentation skills
Advanced skills in MS Excel, Word, and various database programs
Ability to work autonomously and thrive in a fast-paced environment with shifting priorities
Advanced interpersonal skills, including the ability to listen productively, to motivate, and to persuade. The successful candidate should be comfortable interacting with senior executives, both those internal to Blue & Co., and those who are employed by clients and payors
Successful candidate should be skilled at organizing and leading professional business meetings
Selected applicant should be proficient at delivering oral presentations
Company
Blue & Co., LLC
At Blue & Co.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Aimee Reavling
Director (Partner)
Chris Olson
Chief Operations & HR Officer
Recent News
2025-07-04
Company data provided by crunchbase