Contract Administrator, Value Based Initiatives

Location: City of Albany

Contract Administrator, Value Based Initiatives page is loaded## Contract Administrator, Value Based Initiatives locations:
43 New Scotland Avenue Albany, NY 12208:
102 Park Street Glens Falls, NY 12801:
211 Church St Saratoga Springs, NY 12866:
71 Prospect Avenue Hudson, NY 12534time type:
Full time posted on:
Posted Yesterday job requisition :
68520

Department/Unit:

Integrated Delivery Systems

Work Shift:

Day (United States of America)
Salary Range:$71,612.39 - $Working at the direction of the VP for Payer Contracting, the Contract Administrator makes data-supported recommendations, supports the development of AMC/IDS contracting strategies, and, as assigned, negotiations/negotiate with established and new payers, both commercial and governmental. Support functions include but are not limited to economic and risk assessments in collaboration with Corporate Finance and ensuring implementation and operational performance of such contracts, consistent with the negotiated terms.

The Contract Administrator prepares contract proposals for internal review and consideration, prepares for and conducts meetings/negotiations, presentations, and other organizational functions as assigned. The Contract Administrator maintains strong relationships working collaboratively across AMC/IDS and payer organizations. This includes but is not limited to coordinating operational input across all applicable internal departments including Practice and Hospital Administration, Billing, Finance, Information Systems, Utilization Management, Quality, Credentialing, Managed Care Organizations, payer, and other related internal and external entities.

For each AMC/IDS contract portfolio the Contract Administrator assists with the development of reporting instruments including but not limited to contract performance parameters and/or profit/loss comparisons by service. The Contract Administrator works collaboratively within the Department to develop payer profiles to include but not limited to membership, market share, financials, products and volumes at AMC/ conjunction with or at the direction of VP for Payer Contracting negotiates contract parameters and methodologies and prepares/presents proposals representing AMC/IDS's position.

Works cross functionally within AMC/IDS to evaluate and develop such proposals identifying opportunities and risks. Presents such opportunities and risks to VP for Payer Contracting and others within AMC/IDS as directed. Collaborates with the Legal and Compliance Department and other departments within AMC/IDS to ensure compliance and implementation capabilities.

Works cross functionally within AMC/IDS to review terms and performance of each established contract portfolio; makes data informed recommendations for methodology changes including but not limited to those related to VBP identifying opportunities and risks.

Mediates contract disputes to resolution and ensures compliance (both internally and externally) with contract provisions.

Monitors contract renewal dates in coordination with Contract Specialist to ensure appropriate review is conducted. Coordinates with Finance and others to ensure timely/applicable contract analyses. Reviews for risks and works collaboratively with Financial Reporting to ensure appropriate modeling. Understands all modeling parameters and reports on such.

Responsible for contract education to various departments, including executive leadership, Finance, Billing, Practice Administration as required. Responds to requests for further information and follow-up as required or in coordination with Contract Specialist.

Plans presentations and meetings including preparing narrative, overheads and handouts as assigned. Ensures accurate reporting in all prepared presentations for documentation/archiving.

Monitors contract performance by independently collecting data, analyzing and completing spreadsheets to include comparative and economic assessments and reports on such. In conjunction with VP for Payer Contracting works collaboratively with Data Analytics to develop routine reporting instruments for AMC/IDS.Maintains broad knowledge of payers in the AMHS/IDS market, whether contracted…