Principal Consultant- System Payer Contracting/Hybrid

Principle Duties and Responsibilities

• Serve as project manager and execute assigned projects. Projects will include complex cross-functional strategic initiatives and payer negotiations.
• Perform analytical functions to evaluate contract performance of fee for service and value-based contract terms to support payer negotiations, collaborating with Payors and system colleagues as needed.
• Serve as subject matter expert on payer contract terms, payer relationships and strategies, fee for service reimbursement terms and value-based financial models. Provide consultation to and educate others within the organization on such subject matter.
• Support strategic initiatives as assigned, including leading or supporting cross functional teams to drive improved performance and evaluate opportunities.
• Effectively coordinate and collaborate with System Contracting and other areas within the organization including Primary Health, Reimbursement, Revenue Cycle, Finance, and Analytics.
• Prepare and present deliverables for executive leaders.

Educational and Experience Requirements

• Bachelor's Degree in Accounting, Finance, or a related field required.
• Masters Degree, preferred.
• Minimum 10 years of experience in healthcare industry, required.
• Minimum 7 years of experience in Payer Contracting, with at least 3 years of experience with value based contracting terms, required.
• Expertise of managed care organizations, integrated healthcare systems, and reimbursement methodologies and value-based care financial models required.
• Comprehensive project management abilities.
• Excellent oral and written communication and presentation skills.
• Excellent organizational skills and ability to manage multiple projects simultaneously.
• Excellent interpersonal skills and ability to develop effective working relationship with both internal and external customers.
• Strong negotiation skills. Understanding of legal, business, and insurance operations principles.
• Proficient in Microsoft Word, Excel, and PowerPoint.

Additional Details

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

Overview

Benefits:

• The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more.
• Employees classified as contingent status are not eligible for benefits.

Equal Employment Opportunity / Affirmative Action Employer:

Henry Ford Health is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws.