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Managed Care Contracting Liaison

Creative Solutions in Healthcare · Fort Worth, TX · Managed care contracting; collaborates with facility administrators, reimbursement, admissions, case management, business office, compliance, and legal teams

Employment type

Full-time

Work setting

On-site

Location

Fort Worth, TX

Schedule

Day shift

Posted

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Job overview

The Managed Care Contracting Liaison role is listed as fully remote, with Fort Worth, TX identified in the posting. Compensation is not specified. The role supports skilled nursing facilities and their relationships with managed care organizations, Medicare Advantage plans, and Texas Medicaid managed care programs. The liaison supports contract negotiations, rate management, network participation, authorizations, and payer relationships across an assigned portfolio of Texas skilled nursing facilities. The role contributes to reimbursement and continuity of facility operations by coordinating with payers, facility teams, and corporate partners.

What you'll do

  • Support negotiation, renewal, and amendment of managed care and Medicare Advantage contracts
  • analyze contract terms and rates
  • maintain contract data and deadlines
  • build payer relationships
  • coordinate payer meetings
  • resolve authorization issues
  • track denials and payer performance
  • support Texas Medicaid requirements and compliance
  • coordinate contract reviews with Legal and Compliance
  • prepare reports and reimbursement data
  • support budgeting across assigned facilities.

What we're looking for

Skills & competencies
managed care contracting liaison
fully remote
fort worth tx
creative solutions in healthcare
skilled nursing facilities
payer relations
contract negotiations
medicare advantage
texas medicaid
star+plus
lvn or rn license
regional texas travel
401(k)
paid time off
Work arrangement
  • Weekend coverage required

Benefits & perks

  • Health, dental, and vision insurance
  • AD&D and other supplemental coverage
  • whole and term life insurance
  • tuition reimbursement
  • paid time off
  • immediate 401(k) eligibility
  • corporate resources.

Why this role

Requires a current Texas LVN or RN license, three or more years of relevant experience, and knowledge of Texas Medicaid managed care programs. Travel to facilities and payer meetings across Texas may be required.

About the employer

Creative Solutions in Healthcare is hiring for this role. Industry: Nursing Care Facilities (Skilled Nursing Facilities). Sector: 62.

Additional details

Industry sector
62
Industry
Nursing Care Facilities (Skilled Nursing Facilities)
Occupation code
13-1071.00
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