Contracts Manager

3 weeks ago

Albuquerque, United States HME Specialists LLC Full time
Job DescriptionJob Description

As a key member of the Business Development team, the Contract Managers will report to the Vice President of Sales and Business Development. The Contracts Manager role covers range of responsibilities centered around contract management and administration in segments such as Managed Care, Long Term Care (LTC) and Hospice.

Managed Care Contract Administration

Responsible for successful implementation, coordination, and administration of contracting and pricing procedures. This includes contract terms and conditions, products and prices for various market segments and customer types. Accountable for information derived from systems and other administration. Will also be active in supporting all negotiations.

  • Routine contracting activities, maintaining strategic relationships, evaluating contracts, and acting as an internal resource in interpreting contracts.
  • Supporting the prioritization of payer contract activities in collaboration with Managed Care leadership and key stakeholders.
  • Credentialing and Recredentialing for participation with Managed care Payors.
  • Complete applications for network participation with new plans.
  • Effective administration of contracts ensuring appropriate dissemination of relevant contract details to all relevant internal departments and providing necessary tools to the Managed Care Operations team.
  • Providing oversight and support to payer issues and escalations meetings and developing and maintaining appropriate relations with managed care payors.

Long Term Care and Hospice Contract Administration

  • Overview LTC and Hospice revenue by contract - identify opportunities/risks
  • Relationship management with key LTC/Hospice stakeholders/partners
  • Use template to create amendments to existing agreements
  • Proactive Contract Renewal: Working closely with VP to develop contract proposals
  • Perform other duties as assigned.

General Contract Administration

  • Organize and maintain contracts files and database for quick review/understanding
  • Maintain complete, accurate, and up-to-date contract records, files, log and reports.
  • Review revenue performance to draw insights for Leadership
  • Work on problems of moderate scope where analysis of situations or data requires a review of a variety of factors.

Experience and Qualifications

  • Bachelor's degree in Business Administration or related field is desirable.
  • Ancillary Healthcare experience a plus.
  • Contracting/Credentialling experience a plus.
  • Durable Medical Equipment experience a plus.
  • Customer Service, Billing experience a plus, Knowledge of Microsoft suite products necessary, including Excel, Word, Power Point and Access.
  • Must be well-organized and be self-directed

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually quiet.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to sit and use hands. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 50 pounds.

Job Type: Full-time

Salary: $50,000

Benefits:

  • 401(k)
  • Dental insurance
  • Employee assistance program
  • Employee discount
  • Health insurance
  • Paid time off
  • Vision insurance

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