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Patient Services

Payor Relations & Contracting Analyst

  • City/State: Fredericksburg, VA
  • Specialty: Revenue Cycle
  • Schedule: Full-time
  • Job ID: R-21278

Start the day excited to make a difference…end the day knowing you did.  Come join our team.

Job Summary: Responsible for managed care contract administration, provider services, and managed care organization support. Will assist in managed care contract negotiations. This position must demonstrate a commitment of quality service to our patients, the public and co-workers.

Essential Functions & Responsibilities:

  • Assists in the negotiation of managed care contracts as assigned.
  • Assists with contract implementation of managed care agreements within the department, as well as with internal and external customers.
  • Provides managed care support to the organization including all MWHC businesses.
  • Administers negotiated managed care agreements and works with managed care payers to administer negotiated agreements.
  • Develops and maintains relationships with payers and with customers to effectively manage contracts and resolve issues.
  • Serves as back up for the creation and generation of reports, relevant to position, in order to provide meaningful information for the department, as well as to internal and external customers.
  • Compiles and analyzes internal and external information as it relates to managed care contracts.
  • Provides support for physician organizations.
  • May assist in developing and maintenance of procedural documentation.
  • Attends events to keep abreast of current methodologies and approaches.
  • Participates in the completion of survey’s relevant to position.

Qualifications:

  • Bachelor's Degree preferred. Associate's Degree and a minimum of two (2) years of healthcare related work experience required or four years of managed care experience may be substituted for education requirement.
  • Strong analytical and negotiation skills required.
  • Ability to work independently required.
  • Strong customer service skills required.
  • Strong computer skills relevant to position required.
  • Strong verbal, written and presentation skills required.

As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.

Award-winning Culture

An Award-Winning Health System

Our reputation for clinical excellence and employee satisfaction is nationally recognized. Our leadership, culture of continuous improvement and inclusive culture have helped us earn prestigious recognitions, including:

  • Mary Washington Healthcare US English 2025 Certification Badge
  • FirstChampionChallenge Badges V2a White 600x505
  • Forbes ABMidsizeE2025 Logo Square 600x600

Quality of Life

Nestled between Washington, D.C. and Richmond and just a short drive from the Shenandoah and Blue Mountains lies the quintessential Mid-Atlantic communities of Fredericksburg and Stratton, Virginia. Here, life moves at a more thoughtful pace. Your early mornings could start with a quiet drive past rolling green hills and farms then end with a walk through a bustling downtown where you can enjoy a memorable dinner at one of the region’s renowned restaurants. It’s a place with excellent schools, low crime and a true sense of community.

Whether you’re seeking arts and culture, history, recreational activity or the tranquility of the rural countryside, you’ll find what you’re looking for in the Fredericksburg area.

Benefits

Benefits that support you and your family.

Our benefits are designed with you in mind — providing maximum value and flexibility to match your life. Whether you’re starting your career, beginning a family or pursuing a degree, our benefits lend support where you need it, giving you peace of mind and security. Some of our common benefits include:

  • Paid time off
  • Medical and dental coverage
  • Vision insurance
  • Short- and long-term disability
  • Credit union membership
  • All One Health Associate assistance
  • Flexible spending accounts
  • Health savings account
  • In-service education
  • Tuition reimbursement
  • Wellness program
  • Medical library
  • Various association discounts
Join us and help shape the future of care
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