Client Services Representative, Managed Care

Join Cedar Gate Technologies as a Managed Care Services Representative to develop, negotiate, implement, monitor, and optimize managed care agreements that support growth and quality of care. Collaborate closely with internal teams, clients, payers, and providers, building strong relationships and preparing presentations.

Requirements

• Act as a key liaison between internal teams, providers, and payers — resolving managed care issues, assisting with provider communications, and researching claims to maintain strong relationships.
• Collaborate with Team members to manage and maintain our Center of Excellence programs, including member education, helpline, enrollment, and reporting.
• Support clients, providers, and payers with a focus on timely and effective inquiry resolution.
• Research managed care trends and benchmarks to provide analysis and recommendations.
• Prepare data and insights to support negotiations with payers, employers, and providers; present findings to senior leadership.
• Collaborate with team members and department leadership to prepare and present documentation for Committee and Board meetings, ensuring accuracy and compliance.
• Assist with the review of payer and provider agreements and help develop negotiation strategies.
• Prepare and present quarterly payer account summaries to departmental leadership.
• Partner with other departments to ensure smooth workflows and accurate contract and provider information.
• Support client onboarding by managing payer and provider contract details.
• Track agreement statuses (expirations, changes, notices) and proactively alert management to required actions.
• Maintain and validate data across systems (including Cactus and other platforms) to ensure accuracy and completeness.
• Monitor payer updates in policies and procedures and distributing pertinent information to the appropriate teams in a timely manner.
• Create, organize, and maintain provider and payer contracting documents in both electronic and paper formats.
• Coordinate with provider offices to secure the timely completion of documents and distribute executed agreements properly.
• Maintain organized systems, filing structures, and resources to support department efficiency.
• Assist with special projects and additional tasks as assigned.

Benefits

• Generous Paid Time Off
• 401k Matching
• Retirement Plan
• Relocation Assistance