Contract Manager

Responsibilities

• Assists in detailed analysis of performance, and provide evaluation, on existing payer contracts in assigned practices.
• Actively participates in developing payer strategies and business goals with the leadership team for assigned practices/markets.
• Affirms contractual arrangements meet financial targets and legal/regulatory compliance requirements.
• Led payer negotiations including managing template versions, review/approval process and multiple concurrent negotiations.
• Works with internal team members to coordinate analytic requirements and other projects impacted by contract negotiations/revenue.
• Accountable for all payer related issues and ensures practices have timely support as needed.
• Responsible for the accuracy of supporting documentation for contracts and completes documents accurately.
• Ensures contractual language is kept current; evaluates fee schedule on a yearly basis to identify opportunities for additional covered services, medical policy changes and reimbursement.
• Provides training and education to practice stakeholders as needed on any payer related subject.
• Ensures practices have access to and properly utilizes all payer tools.
• Creates and maintains productive and professional relationships between operations, partner practices and payers.
• Ability to work in a matrix environment where multiple and competing customer demands are likely.
• Focuses on client satisfaction through internal and external communication.
• Demonstrate proficiency with financial reports and modeling.
• Aid in the development of other team members through mentoring if necessary.
• Participate in the development and/or advancement of value-based care programs.

Qualifications

• Associate’s or Bachelor’s degree required in business, finance, healthcare administration or other relevant fields of study.
• Master’s degree preferred but not required.
• Minimum 5 years relevant experience working with hospital, clinic, physician practice or healthcare system contracting.
• Demonstrated knowledge and understanding of the legal and regulatory requirements in the healthcare industry.
• Current industry experience negotiating physician contracts required.
• Current or previous payer contracting experience preferred but not required.
• Travel flexibility as needed.