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1–2 jobs· newest first

Managed Care Contract Specialist - FT - Day - Managed Care Pennington NJ
Capital Health (US) · Pennington, US
$21–$28Full-time
Social Worker, Licd Master (weekend)
Memorial Hermann Health System · The Woodlands, US

+10K new in the last hour

Managed Care Contract Specialist - FT - Day - Managed Care Pennington NJ

Capital Health (US) · Posted Nov 2, 2026

Pennington, New Jersey, United States
Full-time
$21–$28 per year
5+ years

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Compensation

Pay Range: $21.33 - $27.73

Responsibilities

Facilitates and coordinates process standardization with vendor to promote accurate contractual allowances in the contract management tool.
Reviews claim calculations in contract management tool, identifies discrepancies between the tool and contractual terms and works with the vendor or the payer to resolve discrepancies.
Performs root cause analysis behind payment calculation variances and identifies improvement opportunities for contract management software vendor as appropriate.
Provides ongoing evaluation and assessment of payer contracts, correlation tables, fee schedules, etc. through claims data to ensure the contract management tool remains current and accurate.
Coordinates with management and other revenue cycle leaders on contract valuation issues resulting in payment discrepancies.

Requirements

High School degree or equivalent
Bachelor’s degree preferred

Skills

Proficient knowledge of healthcare billing ICD-10 knowledge Microsoft Office billing system organization skills verbal and written communication skills

Benefits

Medical Plan
Prescription drug coverage & In-House Employee Pharmacy
Dental Plan
Vision Plan
Flexible Spending Account (FSA)

See full job description

Social Worker, Licd Master (weekend)

Memorial Hermann Health System · Posted Nov 2, 2026

The Woodlands, Texas, United States

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Licensed Master Social Worker providing clinical social work, crisis intervention, and discharge planning for patients with complex psychosocial needs.

Responsibilities

Intervenes with patients and families regarding emotional, social, and financial consequences of illness and/or disability
Provides crisis intervention and mental health assessment
Coordinates multidisciplinary discharge plans
Advocates for patient and family empowerment
Participates in discharge planning activities

Requirements

Graduate of an accredited Master of Social Work program (MSW)
Nice to have: ACM certification from American Case Management Association (ACMA)

Skills

Clinical social work Crisis intervention Mental health assessment Discharge planning Interdisciplinary teamwork Communication Negotiation

Analytical skills

Utilization management

Pre-acute and post-acute care

Community resources

Therapeutic communication

DSM V knowledge

ICD-10 knowledge

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