Sr. Contract Manager

Primary Responsibilities

• Thinks strategically to identify key negotiating targets for payor negotiations.
• Proposes and analyzes strategic options for Senior Management that provide significant opportunity to BIDCO to maximize clinical and financial performance (including via risk arrangements, fee for service rates, infrastructure and quality support).
• Develops and updates financial reimbursement models to inform ongoing contract negotiations.
• Prepares detailed contract proposals including contract terms and pricing structures, and actively participates in contract negotiations with Senior Management team.
• Maintains tracking system of contract performance and operational issues to address at renegotiation.
• Develops and maintains expertise on hospital and physician reimbursement, as well as industry standard coding and billing updates.
• Proactively engages payors to address changes that have the potential to negatively impact BIDCO provider reimbursement and may require contract renegotiation.
• Designs and performs analysis to evaluate alternative risk models and support decision-making.
• Prepares and presents payor proposals, analysis and ongoing performance reports to Senior Management and at Committee meetings, either in presentations or through informal meetings.
• Maintains database of contract information. Tracks contract renewal dates.
• Supports and collaborates with BIDCO hospital contracting staff and physician groups to address contract issues.
• Works with hospital and physician group contract staff to analyze existing payor contract participation and payor renewals in order to develop a strategic plan to renegotiate PLLC and HLLC contracts into consolidated BIDCO contracts.

Required Qualifications

• Bachelor's degree required.
• Master's degree preferred.
• 5-8 years related work experience required.
• Ability to travel to offsite locations as needed.
• Must have flexibility to attend meetings that are early morning or evening.
• Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications.
• May produce complex documents, perform analysis and maintain databases.

Pay

$130,000.00 USD - $159,994.00 USD