Job Description:The
Contract Manager will report to OneOncology's Sr. Manager, Contract Management. This role will be accountable for contract life cycle /performance of assigned physician practices, including negotiations and strategy development. The contract lifecycle will include negotiations and strategy development, maintenance, and contributing to value-based care development. This position does not typically have any direct or indirect employees to manage. This is a remote position that does require some travel and proximity to a major airport.
Responsibilities- Assists in detailed analysis of performance, and provide evaluation, on existing payer contracts in assigned practices.
- Actively participates in developing payer strategies and business goals with the leadership team for assigned practices/markets.
- Assures contractual arrangements meet financial targets and legal/regulatory compliance requirements.
- Leads payer negotiations including managing template versions, review/approval process and multiple concurrent negotiations.
- Works with internal team members to coordinate analytic requirements and other projects impacted by contract negotiations/revenue.
- Accountable for all payer related issues and ensuring practices have timely support as needed.
- Responsible for the accuracy of supporting documentation for contracts and completing documents accurately
- Ensures contractual language is kept current; evaluate fee schedule on a yearly basis to identify opportunities for additional covered services, medical policy changes and reimbursement.
- Provides training and education to practice stakeholders as needed on any payer related subject.
- Ensures practices have access to and properly utilizes all payer tools.
- Creates and maintains productive and professional relationships between operations, partner practices and payers.
- Ability to work in a matrix environment where multiple and competing customer demands are likely.
- Focuses on client satisfaction though internal and external communication.
Key Competencies- Excellent written and verbal communication skills.
- Strong negotiation skills.
- In depth knowledge of Medicare, Medicaid, and commercial insurance.
- Demonstrates proficiency with financial reports and modeling.
- Ability to utilize contract management software tools.
- Conflict resolution skills and strong relationship building skills.
- Strong attention to detail.
- Innovative problem solving and strong critical thinking skills.
- Ability to manage multiple complex projects at the same time.
Qualifications- Bachelor's degree required in business, finance, healthcare administration or other relevant fields of study. Master's degree preferred but not required.
- Minimum 5 years relevant experience working with hospital, clinic, physician practice or healthcare system contracting.
- Demonstrated knowledge and understanding of the legal and regulatory requirements in the healthcare industry.
- Current industry experience negotiating physician contracts required.
- Current or previous payer contracting experience preferred but not required.
- Travel flexibility as needed.
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