Manager of Managed Care Analytics and Contracts

Manager of Managed Care Analyst and Contracts

At Refresh Mental Health, our commitment to optimal mental health and steadfast support isn’t just for our clients; it extends to every team member.

Refresh Mental Health provides outstanding operational support, infrastructure, and resources to allow clinicians to focus on what they do best — providing exemplary care to clients. This partnership will enable us to offer additional resources and operational support while maintaining our local identity and leadership.

Refresh Mental Health, part of the Optum family of businesses, focuses on improving millions of lives through technology-enabled behavioral health care.

The Manager of Managed Care Analyst and Contracts is necessary to support the Athena provider enrollment, Revenue Cycle, and Contracting support functions. These positions have a direct impact on revenue. These roles will ensure that provider enrollment is updated daily and that claim holds are resolved quickly to improve cash flow.

Schedule: Monday - Friday 8:00 am - 5:00 pm

Compensation: $50,000 - $70,000 per year

Education / Training / Experience:

• Bachelor’s Degree (preferred) in Health Administration, Business Administration, or related field, or a combination of education and equivalent experience specifically relevant to the primary accountabilities of practice management, preferably behavioral health
• Familiar with behavioral healthcare concepts and practices as they relate to providers and behavioral healthcare clinics

Responsibilities:

• Support contract administration, including contract installation within the EHR
• Fee schedule maintenance, loading, and quality evaluation
• Review and problem identification of claims hold and initiate escalation when required
• Maintain payor lists for assigned region
• Schedule and support Joint Operating Committee activities with assigned payors
• Provide support to clinics and the contracting team for escalated problem resolution

Advantages:

• Benefits: Health, Dental, and Vision
• 401k with employer contribution
• Paid time off (PTO)
• Employee Assistant Program (EAP)

About Refresh Mental Health

Refresh Mental Health provides outstanding operational support, infrastructure, and resources to allow clinicians to focus on what they do best — providing exemplary care to clients. This partnership offers additional resources and operational support while maintaining our local identity and leadership.

Opportunities with Refresh Mental Health, part of the Optum family of businesses, are focused on improving millions of lives through technology-enabled behavioral health care. Start a rewarding career where your work will bridge the gap between need and treatment. Be part of a team driven by our passion for helping people improve and stay better. Please help us make a meaningful and lasting impact while Caring, connecting, and growing together.

Refresh Mental Health is an Equal Opportunity Employer that values a diverse workplace. We are committed to building a team that is inclusive of all people, including those of LGBTQIA communities, members of all ethnic groups, people with disabilities and medical conditions, foreign-born residents, and veterans. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Refresh is also committed to compliance with all fair employment practices regarding citizenship and immigration status.