Healthcare Contract Manager

1 week ago


Memphis, Tennessee, United States Baptist Memorial Healthcare Corporation Full time
Job Title:
Manager-Provider Contracts

About Baptist Memorial Health Care

We are a leading healthcare organization that values our colleagues who possess both technical expertise and a compassionate attitude.

Our success is driven by our team members who carry out Christ's three-fold ministry - healing, preaching, and teaching. We reward their efforts with competitive compensation and benefits packages that are highly regarded in the Mid-South healthcare community.

Job Summary

We are seeking a highly skilled Manager-Provider Contracts to identify, evaluate, and negotiate contracting opportunities to grow our existing business, develop new business, and expand our provider network.Key Responsibilities
  • Identify and evaluate managed care contracting opportunities to grow our existing business, develop new business with various third-party payors, and expand our provider network.
  • Analyze contract opportunities utilizing contract guidelines to improve our market share.
  • Negotiate contracts with various providers and third-party payors, managing the necessary interface to bring these negotiated contracts to closure.
  • Maintain proficient knowledge of managed care contracting concepts, including reimbursement methodologies and health benefit plan designs.
  • Extrapolate information from payor's health benefit plans and health care reimbursement arrangements to complete contract summaries and reports.
  • Maintain current knowledge of managed care market and market trends, both provider and payor.
  • Ensure compliance with organization and departmental missions by applying appropriate business and legal protocol for contracting services.
  • Serve as liaison for contract communication with other organizational representatives, managing document control of contract files.
  • Manage renewal process for payor contracts, including renegotiation, and analyze utilization data submitted for contract renewal.
Requirements, Preferences, and Experience

Education:

Master's degree in healthcare administration or related field (preferred) or Bachelor's degree in healthcare administration or business administration (minimum).

Experience:
Minimum 3 years of experience with healthcare contracting, including health care reimbursement and health benefit plan experience.

Special Skills:

Effective in making presentations to various provider and payor groups; strong analytical, negotiation, leadership, marketing, and verbal/written communication skills.

Benefits
  • Competitive salaries
  • Paid vacation/time off
  • Continuing education opportunities
  • Generous retirement plan
  • Health insurance, including dental and vision
  • Sick leave
  • Service awards
  • Free parking
  • Short-term disability
  • Life insurance
  • Health care and dependent care spending accounts
  • Education assistance/continuing education
  • Employee referral program


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