Manager, Denials and Managed Care Contracting | Business Office | Nonprofit Hospital System | Southeast, US

• Hospital system with a strong focus on revenue cycle performance, payer collaboration, and financial improvement • Lead daily operations for managed care contracting, denial resolution, underpayment recovery, and payer performance activities • Oversee teams responsible for contract support, payer denials, underpayments, appeals, and related business office functions • Develop and implement strategies to improve managed care contract performance, reimbursement accuracy, and overall revenue outcomes • Partner with payer representatives and internal leaders to resolve complex denial and underpayment issues • Review denial trends, underpayment patterns, contract variances, and reimbursement concerns to identify opportunities for improvement • Support financial analysis related to payer performance, contract terms, payment accuracy, and revenue cycle results • Ensure timely reporting of reimbursement activity, denial trends, contract performance, and operational metrics • Provide oversight for clinical, technical, billing, and contractual denial processes • Collaborate with hospital billing, coding, finance, clinical, compliance, and revenue cycle teams to address payer-related concerns • Promote compliance with payer requirements, regulatory expectations, contractual obligations, and internal policies • Lead process improvement efforts that strengthen workflows, reduce preventable denials, improve collections, and support operational efficiency • Provide leadership, coaching, and accountability for staff while fostering teamwork, accuracy, professionalism, and continuous improvement