Use your payer contracting expertise to help physician practices and surgery centers across the country improve reimbursement and financial performance.
Medical Consulting Group (MCG) is a healthcare consulting firm specializing in ophthalmology practices and ambulatory surgery centers nationwide. We help providers strengthen payer relationships, improve reimbursement, and optimize financial performance.
We are seeking a Managed Care Contracting Specialist to negotiate and manage payer agreements on behalf of our physician practice and ASC clients. This role is ideal for someone who enjoys contract negotiation, relationship management, and helping healthcare organizations achieve stronger financial outcomes.
What You'll Do
- Negotiate, renew, and renegotiate contracts with commercial and government payers.
- Analyze reimbursement rates, fee schedules, and contract terms.
- Identify opportunities to improve provider reimbursement and contract language.
- Build relationships with payer representatives and client leadership.
- Monitor payer policy and reimbursement changes.
- Present contract recommendations and negotiation results to clients.
- Manage multiple client projects and priorities simultaneously.
What We're Looking For
- Experience in payer contracting, managed care contracting, provider contracting, reimbursement analysis, revenue cycle management, or a related healthcare role.
- Experience working with payers such as BCBS, UnitedHealthcare, Aetna, or Cigna.
- Knowledge of healthcare reimbursement methodologies and fee schedules.
- Strong communication, negotiation, analytical, and relationship-building skills.
- Proficiency with Microsoft Office, including Excel.
Preferred
- Experience with physician practices, ambulatory surgery centers, or healthcare consulting.
- Knowledge of Medicare and Medicaid reimbursement.
- Experience presenting recommendations to healthcare leaders.
Benefits
- Health, dental, and vision insurance
- Disability and life insurance
- Flexible Spending Account (FSA)
- Health Savings Account (HSA)
- SIMPLE IRA with company match
- Paid time off and paid holidays
- Referral program
- Professional growth opportunities
- Collaborative, mission-driven team environment
- Opportunity to make a meaningful impact on healthcare providers nationwide
Benefits:
- Dental insurance
- Disability insurance
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Referral program
- Retirement plan
- Vision insurance
Application Question(s):
- Tell us about your experience directly leading payer contract negotiations (not just supporting), and can you briefly describe a successful outcome you achieved (e.g., rate increase, improved terms).
- Which reimbursement methodologies are you experienced working with? (Select all that apply: Medicare fee schedule, ASC rates, % of charges, case rates, bundled payments, other)
- Tell us about your hands-on payer contracting experience negotiating reimbursement rates or contract terms with commercial payers (e.g., BCBS, UHC, Aetna, Cigna).
Ability to Commute:
- Springfield, MO 65804 (Required)
Work Location: In person
