Contract Specialist (Managed Care)

Location: Chesterfield office; hybrid or remote

Company

hirify.global provides specialized, surgical-focused revenue cycle management services for ambulatory surgical centers and related healthcare services, including anesthesia billing, professional billing, and transcription.

What you will do

• Implement and maintain the managed care contracting strategy in a multi-state environment.
• Manage pending and executed contract files, network updates, documentation, and version control.
• Negotiate and renegotiate contracts with payers, health plans, hospitals and health systems, IPAs, government programs, and other payers on behalf of healthcare facilities and providers.
• Analyze contract terms, reimbursement structures, payer data, and financial impact, then present actionable recommendations to provider clients.
• Load and validate payer contract terms, rates, and fee schedules in client systems.
• Resolve billing and contractual issues, track regulatory and policy changes, and support payer escalations, audits, and strategic network decisions.

Requirements

• Strong analytical and critical thinking skills, including the ability to interpret complex data and produce client-ready insights.
• Excellent communication and presentation skills, with the ability to explain data-driven recommendations to non-technical stakeholders.
• Highly organized and detail-oriented, with the ability to manage multiple priorities and deadlines in a fast-paced environment.
• Proficiency in Excel and financial modeling tools.
• Participation in departmental training and staff meetings.
• Compliance with company policies and procedures.

Nice to have

• Experience negotiating externally with payers or serving as a liaison between payers and providers.
• Familiarity with managed care contracts, reimbursement methodologies, and payer systems.
• Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field.

Culture & Benefits

• Full-time position with hybrid or remote work options.
• Departmental training and staff meetings.
• Fast-paced environment focused on innovation, collaboration, and exceeding expectations.
• Work connected to the social, financial, and physical health of coworkers, clients, and communities.