Responsible for managed care portfolio performance for assigned payors
Implementation of contracting strategy for the System
Monitor contract performance versus expected, and recommend any action needed
Completes multi-level analysis of contract language understanding current implications to the Total Enterprise
Able to review complete existing and proposed contract language and identify current risk and impact to the Total Enterprise
Assists in the development and implementation of the System's strategies and objectives related to managed care contracting
Responsible for rate and language negotiation of assigned payor agreements
Monitors, regularly reviews and report financial and operational performance of assigned payor contracts versus expectations
Gathers and analyzes data and apply methodologies
Requirements
Bachelor's degree required, Master's degree preferred (MBA or MHA preferred)
Minimum of 5 years experience as a contract negotiator with a large provider or 7 years small provider or payor experience as a contract negotiator with a Bachelor's degree
Minimum of 3 years experience as a contract negotiator with a large provider or 5 years small provider or payor experience as a contract negotiator with a Master's degree
Benefits
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short
and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs