Perform analysis, revisions and approvals of healthcare provider contract language modifications, evaluating them against specific standards and provide assessment of potential operational risks
Draft and revise contracting language to support state mandated language, product requirements, language deviations received from negotiators or providers, and other contract language requests
Aid management in new business needs including research of state regulations and statutes, review of state contracts and Requests for Proposal (RFPs),and development of appropriate language to support new products/markets
Review of contract language to evaluate modifications against specified standards
Collaborate with the contracting staff at subsidiaries, and operational stakeholders at corporate to revise contract language to support business needs or provider concerns
Serve as point of contact for all language review issues for contracts submitted through the organization’s contract management systems (i.e. Emptoris and Team Track)
Develop and manage reporting on process successes and failures in the contract management systems

Bachelor’s degree in Business Administration, Marketing, related field or equivalent experience
Juris Doctorate, MBA, or MHA is preferred
4+ years experience analyzing, revising and approving healthcare provider contract language modification or 4+ years experience negotiating healthcare provider contracts
Demonstrated leadership experience within a function, department or on project(s) and experience in the health insurance industry
Managed care, Medicaid, Medicare or dual eligible health programs experience preferred
Experience developing contract templates preferred

Contract Administrator II

Key skills