Contract Manager

Location: Lake Spring

Description

:

Negotiate a multitude of contract documents, including, but not limited to, Managed Care Organization, Medicare Advantage, Medicaid Managed Care, Accountable Care, Commercial, workers compensation and employer group contracts; utilize standard contracting documents in these relationships; develop and implement contract ranking/qualifying system; develop and implement contract-tracking system; prepare contract summaries and updates; contract troubleshooting. This position is responsible for organizing, preparing and analyzing financial and other data for improved business intelligence.

Develop a managed care contract reimbursement tracking system. Responsible for the development and oversight of policies and procedures for the contracting and provider reimbursement process. Primary manager of contract management system; serves as payor customer service liaison; manage/supervise staff; analyzes healthcare laws and their effects on existing Cox Health Network “CHN” policies, procedures and managed care contracts. Able to organize, prioritize and multi-task to execute projects and day to day work flow.

Education:

▪

Required:

A Bachelor’s Degree in Business Administration, Finance, Healthcare Management or a related field OR at least 4 years of equivalent experience

Experience:

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Required:

3 years’ experience in healthcare, managed care, insurance, healthcare consulting, legal, or a related field

Skills:

▪ Must have effective negotiating skills and above average knowledge of the current managed care environment. Local market knowledge preferred ▪ Working knowledge of healthcare industry ▪ Proficient in developing and an in depth understanding of financial and utilization reports used to monitor contract performance and identify payer trends ▪ Ability to understand complex hospital/payor contract agreements and determine compliance standards are being adhered to ▪ Ability to think critically and objectively in high pressure situations ▪ Strong interpersonal and analytical skills ▪ Strong oral and written communication skills ▪ Extraordinary attention to detail ▪ Experience in developing policies & procedures producing efficiency ▪ Familiarity with common office equipment to include PC, fax machine, multi phone lines, copier and scanner ▪ 10-key, memory typewriter and copier ▪ Knowledge of Excel, Word, Access and Power Point software applications

Licensure/Certification /Registration: ▪ N/A