Contract Manager

3 weeks ago


Manchester, United States Akshar IT Solutions Full time

Job Summary:

As a Contract Manager, you will be responsible for developing, implementing, and managing cost-effective provider networks for multiple products. You will lead contract language and reimbursement negotiations with various provider entities across New Hampshire, ensuring contract terms and conditions comply with financial and legal requirements.


Must-Haves:

3-4 years of progressive provider network and provider network contracting experience
In-depth knowledge of contract finance and provider reimbursement methodologies
Proven negotiation and communication skills with hospitals, Integrated Delivery Networks, physicians, and ancillary service providers
Knowledge of federal and state Medicare, Medicaid, and relevant guidelines, regulations, and standards
Previous healthcare industry experience.


Qualifications:

Bachelor’s degree in health care administration, Business, or a related field
3 years of progressive experience in a contracting and analytical capacity in a leadership role (4 years for those without a baccalaureate degree)
Proven analytical skills in assessing and projecting financial, utilization, and quality performance
In-depth knowledge of current healthcare industry issues and trends
Proven negotiation skills with hospitals, Integrated Delivery Networks, physicians, and ancillary service providers
Effective communication and relationship-building skills
Expertise in Microsoft Office programs and industry-standard financial applications
Responsibilities:
Assist provider partners in interpreting data tools and analytics
Ensure contracting and implementation process integrity
Demonstrate knowledge of varying payment methodologies
Support strategic network composition and design initiatives
Lead and manage provider implementation
Ensure provider compliance with contractual, regulatory, and NCQA requirements
Participate in cross-functional workgroups
Gather and analyse data to assess provider network adequacy
Identify and develop strategies for improving provider and network performance
Lead negotiations of financial and contractual terms
Ensure contract terms and conditions comply with financial and legal requirements
Develop and maintain business relationships with key contracting hospitals, physicians, and ancillary service providers
Participate in departmental policy development and improvement


Our Investment in You:

Competitive salaries
Excellent benefits


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