Manager of Contract Modeling

Job description

The Manager of Contract Modeling is a critical leadership role within the Managed Care Team at Deaconess Health System. This position oversees the development, implementation, and maintenance of complex reimbursement models used to evaluate payer contracts, forecast financial performance, and support negotiation strategies. The Manager will lead a team responsible for analyzing reimbursement methodologies, modeling contract terms, validating payment accuracy, and generating insights that advance the financial and strategic interests of the organization. This role partners closely with Managed Care leadership, Finance, Revenue Cycle, Decision Support, and Clinical Operations to ensure payer arrangements are aligned with organizational goals and support sustainable growth. Contract Modeling & Financial Analysis: - Lead the design, maintenance, and enhancement of contract modeling tools to evaluate fee‑for‑service, value‑based, bundled, and risk‑based payment methodologies. - Analyze payer performance, reimbursement trends, and utilization patterns to support negotiation strategies and organizational decision‑making. - Model financial impacts of proposed contract changes, new reimburs...