Compensation: $100K - $115K / Year
Minimum Education: Bachelors
Job Type: Full Time
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Arthur L Crume
The ideal candidate has career experience and a skill set that will support and enable a strong understanding of my clients provider network contracting strategy.
This position is specific to the hospital contracting team; therefore, candidates should have extensive experience negotiating hospital system contracts.
A strong understanding of hospital reimbursement methodologies as well as value based strategies is essential.
Contracts Manager will lead the provider contracting process from service delivery planning through implementation, including ongoing monitoring and evaluation.
Acts as lead negotiator (e.g. proposal development & execution) for the Provider Contracting Hospital team in negotiations with community providers (e.g. hospitals, multi-specialty groups, large for-profit vendor organizations, skilled nursing facilities, etc.).
Authors the contract document and ensures the complete & appropriate implementation of contractual arrangements, in accordance with payment policy and organizations business & system requirements.
Identifies, recommends and facilitates timely resolution of provider training & enhancement strategies to achieve maximum value from contracted relationships.
Facilitates problem resolution strategies involving a variety of departments including Legal, Claims, Membership Patient Financial Services, Delivery System, Provider Services, etc.
Conducts and/or oversees financial modeling and recommends financial terms meeting payment policy and divisional objectives of Delivery System leadership.
Provides knowledge, information, consultation and decision level recommendations to inform service delivery planning, provider selection and retention process.
Serves as single point of contact between Provider Relations and accountable delivery system divisional management on a service line basis.
Minimum Education Requirements
*Bachelor's degree in healthcare or related field.
*Master's Degree Health, Business or Public Administration or Public Health.
Minimum Knowledge/Skills Requirements:
*Advanced working knowledge of various reimbursement methodologies, including quality improvement and risk arrangement.
*Strong analytical skills related to medical expenses and utilization. *Demonstrated ability to effectively work independently and as part of a team as needed, with a variety of internal and external personnel at various levels of responsibility.
*Strong verbal and written communication and customer service skills. *Strong project management, leadership, facilitation and interpersonal skills.
Minimum Experience Requirements:
*4 years Health care experience with 1 year healthcare/medical/insurance contract negotiations experience.
*7 years Additional health care and an additional 4 years of contract negotiation experience and delivery system operations experience.
Equal Opportunity Employer committed to a diverse and inclusive workforce.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status, marital status, age, sexual orientation, gender identity or expression, or any other legally protected status.
ALC Staffing Associates
509 N Vermilion
Danville, IL 61832