Healthcare Contract Manager
1 week ago
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.
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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