Managed Care Contract Specialist

Headquartered in Atlanta, GA, EyeSouth Partners is an eye care physician services organization committed to partnering with leading physicians to build a premier network of eye care services in throughout the Southeast. EyeSouth’s partner practices’ clinical mission is to provide high quality medical and surgical specialty eye care. EyeSouth supports its affiliated practices and physician partners with capital, administrative resources, operating expertise, and strategic guidance with an absolute focus on clinical quality and a patient-first culture.

EyeSouth’s affiliate network consists of over 40 practices with 300 doctors providing medical and surgical eye care services at over 175 clinic locations and 20 ambulatory surgery centers throughout Georgia, Texas, Louisiana, Florida, Tennessee, Ohio, Kentucky, Alabama, Illinois, Pennsylvania, New York, North Carolina, and South Carolina.

We are actively recruiting for a Managed Care Contract Specialist to join our growing team at EyeSouth Partners.

If you wish to join a growing team with favorable benefits and perks, while contributing to a best-in-class organization, please apply with your resume

The Managed Care Contract Specialist will play a key role in supporting Project IMPACT, a strategic initiative focused on optimizing payer contracts and driving incremental revenue across EyeSouth Partners’ network of ophthalmology practices and ambulatory surgery centers (ASCs).

This role will directly support managed care leadership in analyzing reimbursement, preparing negotiation strategies, and executing contracting initiatives across multiple states and affiliates. The ideal candidate is analytical, detail-oriented, and comfortable working in a fast-paced, data-driven environment with direct visibility to executive leadership.

• Support execution of Project IMPACT initiatives, including payer renegotiations across physician groups and ASCs
• Analyze reimbursement methodologies including % of Medicare, ASC fee schedules, case rates, and payer-specific carve-outs
• Maintain financial models to quantify incremental revenue opportunities (e.g., rate increases, escalators, new contracts)
• Assist in preparing payer negotiation materials, including rate comparisons, market benchmarks, and review of price transparency
• Track and report incremental revenue impact by affiliate, payer, and contract (multi-year projections)
• Lead and support the implementation and ongoing maintenance of the contract management system, Rivet, including
• Uploading and organizing all payer agreements, amendments, and fee schedules
• Maintenance of enterprise Chargemaster for all EyeSouth affiliates
• Ensuring data integrity and standardization across affiliates
• Partnering with internal teams and vendors to optimize system functionality and reporting capabilities
• Support onboarding of newly acquired affiliates into EyeSouth’s managed care strategy and Rivet platform integration
• Partner with revenue cycle teams to identify underpayments, denial trends, and contract compliance issues
• Coordinate with external consulting partners to support negotiation strategy and analytics
• Monitor contract renewal timelines and proactively identify renegotiation or termination opportunities
• Assist in managing payer relationships including communications, issue resolution, and data requests
• Assist internal reporting for leadership highlighting key wins, contract status, and financial performance
• Bachelor’s degree in Business, Healthcare Administration, Finance, or related field
• 2-5 years of experience in managed care, Payer contracting, healthcare finance, or revenue cycle
• Foundational understanding of healthcare reimbursement models including Medicare and commercial payers
• Strong analytical skills with advanced proficiency in Excel (financial modeling, data analysis, pivot tables)
• Ability to interpret and analyze fee schedules, contracts, and reimbursement terms
• Highly organized with strong attention to detail and ability to manage multiple projects simultaneously
• Strong communication skills with the ability to interface with internal leadership and external stakeholders
• Experience supporting multi-site or multi-state healthcare organizations preferred
• Familiarity with ASC and physician group reimbursement structures preferred
• Experience working with national and regional payers such as UnitedHealthcare, Aetna, Cigna, Blue Cross Blue Shield, Humana, and United Healthcare preferred
• Exposure to contract negotiations or payer strategy development preferred
• Familiarity with contract management systems and payer portals (e.g., Availity) preferred
• Knowledge of claims adjudication, denial management, and payer policies preferred
  
  

We offer a competitive benefits package to our employees

• Medical
• Dental
• Vision
• 401k w/ Match
• HSA/FSA
• Telemedicine
• Generous PTO Package
  
  
  

We also offer the following benefits for FREE

• Employee Discounts and Perks
• Employee Assistance Program
• Group Life/AD&D
• Short Term Disability Insurance
• Long Term Disability Insurance
  
  
  

EyeSouth Partners is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.