Contract Manager IV - Contract Administration

About the role

The ideal candidate will have a minimum of one year of experience in a leadership role with or without direct reports, and a minimum of seven years of experience in health care delivery or operations in a managed care environment, customer relationship management, or a directly related field. Experience with health care regulatory compliance and filing, contract writing, health care operations, legal research, or insurance/health plan governance is preferred. A Project Management Professional (PMP) or equivalent project/program management certification is also preferred.

Responsibilities

• Drafts and/or consults with the legal team on standard contract templates and language
• Responds to inquiries about standard contract templates and language
• Researches, compares, and summarizes contract rates and services
• Aids in the development of rate methodology and strategies
• Collaborates with various services lines to implement rate/contract strategies to improve access and availability and service delivery expansion
• Interprets and translates contract terms for internal and external stakeholders
• Negotiates and completes letters of agreement
• Monitors provider programs in Pay for Performance Agreements, Pay for Quality Agreements, Value Based Purchasing Contracts, and Total Cost of Care

Requirements

• High School Diploma or GED
• Minimum seven (7) years of experience in health care delivery or operations in a managed care environment, customer relationship management, or a directly related field
• Experience with health care regulatory compliance and filing, contract writing, health care operations, legal research, or insurance/health plan governance is preferred
• A Project Management Professional (PMP) or equivalent project/program management certification is also preferred

Qualifications

• Attention to Detail
• Business Knowledge
• Communication
• Cross-Group Collaboration
• Decision Making
• Dependability
• Diversity, Equity, and Inclusion Support
• Drives Results
• Facilitation Skills
• Health Care Industry
• Influencing Others
• Integrity
• Learning Agility
• Organizational Savvy
• Problem Solving
• Short- and Long-term Learning & Recall
• Teamwork
• Topic-Specific Communication Knowledge, Skills and Abilities
• (Core)
• (Functional)

Skills and Abilities

• Contract Law
• Contract Management
• Applied Data Analysis
• Business Acumen
• Business Planning
• Business Process Improvement
• Business Relationship Management
• Compliance Management
• Computer Literacy
• Consulting
• Health Care Reimbursement
• Interpersonal Skills
• Knowledge Management
• Presentation Skills
• Project Management
• Quality Assurance Process
• Time Management
• Training
• Trend Analysis
• Written Communication

Benefits

Details about benefits will be provided upon hire.

Pay

$106,900 - $138,270 / year

Schedule

Full-time