Contract Administrator, System Payer Contracting

About the role

The Contract Administrator, System Payer Contracting (“Contract Administrator”) makes data-supported recommendations, supports the development of AMHS contracting strategies, and, as assigned, negotiates with established and new payers, both commercial and governmental. Support functions include but are not limited to economic and risk assessments in collaboration with System Finance and ensuring implementation and operational performance of such contracts, consistent with the negotiated terms.

Responsibilities

• Prepares contract proposals for internal review and consideration
• Prepares for and conducts meetings/negotiations, presentations, and other organizational functions as assigned
• Maintains strong relationships working collaboratively across AMHS and payer organizations
• Aids in the development of reporting instruments including but not limited to contract performance parameters and/or profit/loss comparisons by service
• Aids in the development of payer profiles to include but not limited to membership, market share, financials, products and volumes at AMHS

Qualifications

• Bachelor's Degree in Business and/or Health Care Administration
• Equivalent combination of relevant education and experience may be substituted as appropriate
• 4-6 years in managed care negotiations and managed care network operations required
• 1-3 years in and able to lead complex payer negotiations and mediation