Contract Negotiation Specialist

4 days ago


Cincinnati, Ohio, United States Cincinnati Children's Hospital Medical Center Full time
About Us

Cincinnati Children's Hospital Medical Center is a leading pediatric healthcare provider, dedicated to delivering exceptional care and advancing medical research. Our mission is to improve the health and well-being of children through innovative treatments, compassionate care, and community engagement.

Compensation

The estimated annual salary for this position is between $87,713.60 and $117,000, depending on experience and qualifications.

Job Description

We are seeking a skilled Contract Negotiation Specialist to join our Payor Relations & Contracting team. As a key member of our team, you will be responsible for negotiating contracts with third-party payors, managing contract terms, and ensuring compliance with regulatory requirements.

In this role, you will work closely with departmental and facility subject matter experts to develop and implement contract strategies that meet the needs of our hospital and patients. You will also maintain relationships with contract negotiators at third-party payors and coordinate implementation activities.

You will be responsible for preparing correspondence to third-party payors, disputing underpayments or denials, and negotiating single-case agreements with non-contracted Medicaid, Medicaid HMO, and commercial plans.

Additionally, you will collaborate with Revenue Cycle Compliance to evaluate the effectiveness of our contract management process and ensure all new or renegotiated contracts are loaded into our contract management information system in a timely manner.

Required Skills and Qualifications
  • Bachelor's degree in a related field
  • 5-7 years of work experience in a related job discipline
Benefits

Cincinnati Children's offers a comprehensive benefits package, including a pension plan, optional 403(b) supplemental retirement plans, tuition reimbursement, and expansive employee discount programs. We also provide physical and mental health wellness programs, as well as support through Employee Resource Groups.

Other Information

Cincinnati Children's is an Equal Opportunity Employer that values diversity, equity, and inclusion. We are committed to creating an environment of dignity and respect for all employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability, or protected veteran status.



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