Regional Contracts Program Manager

St Marys Hospital   •  

Billings, MT

Industry: Patient Care


5 - 7 years

Posted 346 days ago

This position requires the full understanding and active participation in fulfilling the Mission and Values of SCL Health. It is expected that the employee will demonstrate behavior consistent with the Core Values:

Excellence -We set and surpass high standards

Caring Spirit - We honor the sacred dignity of each person

Integrity - We do the right thing with openness and pride

Stewardship - We are accountable for the resources entrusted to us

Safety- We deliver care that seeks to eliminate all harm for patients and associates

Good Humor - We create joyful and welcoming environments

The employee shall support the goals, and direction of the quality improvement process for the Care Site and SCL Health.

Position Summary

The Senior Legal Analyst has responsibility for oversight and management of all assigned contract activities for St. Vincent Healthcare (�Care Site�) including the contracting process and associated risks with contracts. Responsibilities include: Monitors and provides direction related to contract matters including preparation of contracts from approved templates, coordination of counsel review and required documentation, analysis, and tracking. Position requires a solid working relationship and collaboration with the SCL Health Legal Division and Montana Region Care Site leaders. Travel is a requirement of the role.

Position Specific Competencies

  1. Has responsibility, oversight and management for all contracts including all referral source arrangements and oversight and knowledge of all processes related to all Care Site contracts.
  2. Serves as a liaison with the SCL Health Legal Division and other key stakeholders at the Care Site and System office.
  3. Responsibility for and active participation in the contracting process and the review of all contracts for accuracy and compliance with Referral Source Contracting Policies and Procedures.
  4. In conjunction with the Care Site Finance Team, serves as a liaison for all internal or external fair market value determinations for referral source arrangements. Assures fairness and consistency in applying compensation principles and models.
  5. Utilizes approved templates or other agreements drafted by the SCL Health Legal Division.
  6. Assures the entry of all contracts and amendments into Novatus or any other Care Site databases or tracking tools and works with SCL Health Legal Division to finalize for presentation to third parties.
  7. Responsible for managing and educating others regarding the appropriate process for drafting, negotiating and finalizing contracts
  8. Ensures compliance with all State and Federal laws as well as SCL Health and Care Site Contract Policies.
  9. Builds and maintains a solid and collaborative working relationship with the SCL Health Legal Division and leaders within the SCL Health Montana Region.
  10. Maintains an open line of communication with leaders related to contract matters.
  11. Maintains current knowledge of federal and state law and regulations that impact healthcare. Gains understanding of major changes to current legislation and collaborates with SCL Health Legal team related to communication to Care Site Leaders as appropriate.
  12. Prepares information for annual budget.

  13. Discreetly manages a wide variety of highly sensitive, attorney-client privileged and/or attorney work product, documents, and materials.

  14. Maintain and provide periodic written status reports on all open and pending matters.

  15. Establishes goals and metrics for area of responsibility to support strategic initiatives. Includes action plans and tactics for achievement.

  16. Recognizes urgent or emergent situations and communicates to stakeholders as appropriate.

  17. Active involvement in communication to third parties and other stakeholders related to contracts and contract processes as directed from time-to-time.

  18. Supports the goals of the Care Site and Montana Region.

Decision Making

  • Great appreciation for and attention to detail in requiredcontract documentation.

  • Defines issues clearly despite incomplete or ambiguous information.

  • Explores information for decision-making. Creatively integrates different ideas and perspectives. Considers all important issues when making decisions.

  • Emphasizes long-term versus short term solutions to problems that arise. Uses a structured problem solving approach to correct the root cause of a problem. Generates and analyzes alternative solutions to complex problems.

  • Promotes innovation by actively encouraging questions and positive challenges to the status quo. Appropriately challenges the status quo and existing assumptions in order to stimulate and reinforce continuous improvement.

  • Provides necessary resources/cooperation so that innovative solutions can be implemented.

  • Identifies decisions that can be made alone and which need consultation with others; acts accordingly.

  • Makes timely decisions, minimizing emotional and impulsive decisions and crisis management.

  • Anticipates potential problems and implements preventive measures before problems occur.

  • Follows value-based decision making model.

  • Monitors the results of decisions made

Leadership Communication

  • Suspends judgment until all points of view are fully explained and understood.

  • Uses respectful language in communicating.

  • Is sensitive to nonverbal communication, choice of words and physical space in interpersonal communications.

  • Identifies various constituents and develops appropriate communication approaches.

  • Uses good timing and common sense in negotiating. Accomplishes tasks/projects by finding the common ground among all parties.

  • Gives conscious attention to sharing relevant information with others, including downward, upward and lateral communication.

  • Conducts effective meetings. Facilitates regular leadership meetings for problem solving, planning and managerial growth and development.

  • Establishes effective communication channels for all people involved in a given project or activity for maximum accountability.

  • Gives specific, constructive and frequent feedback to direct reports.

    Leadership Skills

  • Supports, provides, clarifies, and ensures adherence to Region, Affiliate, and departmental direction and policies.

  • Encourages and uses positive human resource practices throughout the department, including:

    • Mentoring

    • Using performance management techniques - setting objectives, providing feedback, evaluating results

    • Defining roles and responsibilities with direct reports

    • Training and developing staff

    • Using coaching/counseling to improve or sustain performance

    • Makes effective hiring, promotion, transfer, disciplinary, and termination decisions

  • Creates a shared vision and common aim among groups with diverse interests and beliefs.

  • Incorporates services within the strategic goals of the SCL Health Montana Region.

  • Delegates effectively by determining what to delegate, whom to delegate, etc.

  • Assigns clear accountability to direct reports backed by appropriate authority.

  • Adjusts leadership style appropriately to meet the needs of different individuals and teams.

  • Effectively directs his/her group through change management processes. Addresses resistance to change in a positive, compassionate manner.

  • Facilitates groups to achieve desired results reflecting the group's ideas and input. Uses group process techniques when appropriate.

  • Develops and maintains leadership and managerial capabilities of appropriate staff.

    Business Acumen

  • Possesses a thorough understanding of the healthcare environment and keeps current on industry developments, including the Catholic healthcare ministry.

  • Understands healthcare reimbursement issues and their impact on his/her individual area(s) of responsibility and the organization as a whole.

  • Combines ethical judgment with technical skills within the policy and legal guidelines of the institution; understands the legal, social, economic and political forces which influence the health care system.

  • Effectively uses financial information for strategic and operational decision making. Reviews and correctly interprets financial data.

  • Participates in the preparation of annual Care Site and regional budgets for capital equipment, personnel, supplies, and other departmental costs; ensures that all Care Site departmental and regional budgets are submitted for approval by the required time lines. Seeks suggestions/information from appropriate staff.

  • Identifies likely excesses/shortages of funds when business conditions change; responds appropriately to control budget variances.

  • Maintains financial accountability for assigned departments; functions within established budget.

  • Involves appropriate personnel in the collaborative team process on decisions for the selection of major equipment and/or changes in services.

  • Examines alternative methods of providing required services in order to reduce departmental supply and personnel costs.

  • Translates broad organizational strategies into clear objectives and practical action plans for his/her area of responsibility.

  • Drives continuous performance improvement in all departmental processes. Strives for excellence.

  • Organizational Responsibilities

  • Demonstrates an understanding of the link between own job responsibilities and overall organizational goals and needs and performs the job with the broader goals in mind.

  • Promotes teamwork across the organization by seeking to constantly refine/improve how the Caresite/Regional/System leadership teams work together.

  • Respects and appreciates individual differences in perspective and background; recognizes others as individuals by showing respect for their beliefs/values and treating them with fairness and understanding.

  • Understands the organization's mission, vision, values, and strategies and how they shape the organization.

  • Links his/her work team's mission to that of the Caresite/Region/SCL Health. Integrates the mission, vision and values into departmental activities and uses them as a guide in decision-making.

  • Uses resources in a manner of responsible stewardship.

  • Understands how the organization operates and evaluates the impact of his/her decisions on other work teams.

  • Develops cooperation and collaborative work efforts toward solutions that generally benefit all involved parties.

  • A review of this description has excluded the marginal function of the position which are incidental to the performance of fundamental job duties. This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by their supervisor.

Education, Experience and Licensure/Certification Requirements

Requirements are representative of minimum level of knowledge, skills and/or abilities.

  1. Bachelors Degree in Business, Healthcare Administration, or related field

  2. Paralegal Certification preferred

  3. Minimum 5 years of experience in health care, hospital operations, legal services, and/or physician practive management or acceptable substitute.

  4. Current Montana Driver�s license & proof of clean driving record

  5. Current experience drafting contracts and legal documents.

  6. Demonstrated experience developing and managing internal processes and procedures.

  7. Knowledge of federal and state laws and regulations affecting SCLHS and its Care Sites, physician relationships (i.e., Medicare fraud & abuse, Stark and private inumment and restrictions on the activities of tax-exempt organizations)

  8. Strong written and verbal communication skills and the ability to relate directly and openly with diverse internal and external constituencies; an active listener;

  9. Ability to manage project budgets, timely receipt of deliverables and overruns;

  10. Awareness of and ability to implement the principles of process improvement;

  11. Ability to work effectively in fast paced environment and manage multiple tasks simultaneously;

  12. Ability to distinguish between matters requiring emergent attention and urgent attention;

  13. Willingness to develop proficiency in SCLHS applications, including document management tool;

  14. Personal commitment to performance excellence and quality customer service;

  15. Ability to maintain and manage in a confidential manner highly sensitive legal matters.

  16. Knowledge of the traditions and values of the Catholic healthcare ministry.

    Job Number: 17008779