Payer Strategy Contract Specialist

Job Summary

You will work closely with leadership to support the negotiation of favorable terms for various agreements within the managed care landscape. Your expertise will be applied across a range of organizational entities. Every day, you will focus your efforts on ensuring that all terms and conditions of these agreements adhere to organizational standards and recognized best practices. You will meticulously align contract terms with broad operational objectives, contributing to the financial sustainability and strategic goals of the organization.

Responsibilities

• Supports the review of contract proposals, language and rate sheets to ensure accuracy, completeness and in compliance with CommonSpirit Health standards and guidelines.
• Recommends corrections, changes and any language opportunities in documents to PSR leadership.
• Aids PSR leadership in developing and updating project plan documents, meeting minutes and action item follow up related to National Payers renewals and planning.
• Safeguards all amendments, letters of agreement (LOA), memorandum of understanding (MOU) and other contract documents by ensuring they are signed by the appropriate parties and providing the fully executed contract documents to the Contract Administration team.
• Ensures contract documents include rate escalators and obtains updated rate tables, fee schedules and all contracting materials are stored according to PSR and/or Legal Policies, and ensures information is made available to or disseminated to key stakeholders of the negotiation process.
• Coordinates with other PSR team members to facilitate credentialing and re-credentialing of CSH entities.

Requirements

• Required Bachelors or equivalent education and experience in contract management in a healthcare related field.