Duties:
Job Summary:
This position is responsible for supporting the System Contracting department by providing payer contracting subject matter expertise and performing special project as determined by the Vice President of System Contracting and the Director of Managed Care Contracting. Assignments would include providing consultation on, leading and/or performing; complex payer negotiations, financial model development, analytics, and cross-functional system projects and initiatives.
Job Responsibilities:
Serve as project manager and execute assigned projects. Projects will include complex cross-functional strategic initiatives and payer negotiations.
Perform analytical functions to evaluate contract performance of fee for service and value based contract terms to support payer negotiations, collaborating with Payors and system colleagues as needed.
Serve as subject matter expert on payer contract terms, payer relationships and strategies, fee for service reimbursement terms and value based financial models. Provide consultation to and educate others within the organization on such subject matter.
Support strategic initiatives as assigned, including leading or supporting cross functional teams to drive improved performance and evaluate opportunities.
Effectively coordinate and collaborate with System Contracting and other areas within the organization including Primary Health, Reimbursement, Revenue Cycle, Finance, and Analytics.
Prepare and present deliverables for executive leaders.
Effectively manage multiple projects and assignments occurring at the same time.
Perform other responsibilities or assignments as required.
null
Skills:
Required Skills & Experience:
Minimum ten (10) years of experience in healthcare industry.
Minimum seven (7) years of experience in Payer Contracting, with at least three (3) years of
experience with value based contracting terms.
Comprehensive project management abilities.
Excellent oral and written communication and presentation skills.
Excellent organizational skills and ability to manage multiple projects simultaneously.
Excellent interpersonal skills and ability to develop effective working relationship with
both internal and external customers.
Strong negotiation skills.
Understanding of legal, business, and insurance operations principles.
Proficient in Microsoft Word, Excel, and PowerPoint.
Must meet or exceed core customer service responsibilities, standards and behaviors as outlined in the company\'s Customer Service Policy and summarized below:
Communication
Ownership
Understanding
Motivation
Sensitivity
Excellence
Teamwork
Respect
Must practice the customer skills as provided through ongoing training and inservices.
Must possess the following personal qualities:
Be selfdirected.
Be flexible and committed to the team concept.
Demonstrate teamwork, initiative and willingness to learn.
Be open to new learning experiences.
Accepts and respects diversity without judgment.
Demonstrates customer service values.
Preferred Skills & Experience:
N/A
null
Education:
Required Education:
Bachelors Degree in Accounting, Finance, or a related field.
Preferred Education:
Masters Degree
Required Certifications & Licensure:
N/A
Preferred Certifications & Licensure:
N/A
null
Languages:
English Read Write Speak