Contract Manager

CoxHealth•Springfield, MO

1d•Onsite

About The Position

Negotiate a multitude of contract documents, including, but not limited to, Managed Care Organization, Medicare Advantage, Medicaid Managed Care, Accountable Care, Commercial, workers compensation and employer group contracts; utilize standard contracting documents in these relationships; develop and implement contract ranking/qualifying system; develop and implement contract-tracking system; prepare contract summaries and updates; contract troubleshooting. This position is responsible for organizing, preparing and analyzing financial and other data for improved business intelligence. Develop a managed care contract reimbursement tracking system. Responsible for the development and oversight of policies and procedures for the contracting and provider reimbursement process. Primary manager of contract management system; serves as payor customer service liaison; manage/supervise staff; analyzes healthcare laws and their effects on existing CoxHealth Network “CHN” policies, procedures and managed care contracts. Able to organize, prioritize and multi-task to execute projects and day to day work flow.

Requirements

A Bachelor’s Degree in Business Administration, Finance, Healthcare Management or a related field OR at least 4 years of equivalent experience
3 years’ experience in healthcare, managed care, insurance, healthcare consulting, legal, or a related field
Must have effective negotiating skills and above average knowledge of the current managed care environment. Local market knowledge preferred
Working knowledge of healthcare industry
Proficient in developing and an in depth understanding of financial and utilization reports used to monitor contract performance and identify payer trends
Ability to understand complex hospital/payor contract agreements and determine compliance standards are being adhered to
Ability to think critically and objectively in high pressure situations
Strong interpersonal and analytical skills
Strong oral and written communication skills
Extraordinary attention to detail
Experience in developing policies & procedures producing efficiency
Familiarity with common office equipment to include PC, fax machine, multi phone lines, copier and scanner
10-key, memory typewriter and copier
Knowledge of Excel, Word, Access and Power Point software applications

Responsibilities

Negotiate a multitude of contract documents
Develop and implement contract ranking/qualifying system
Develop and implement contract-tracking system
Prepare contract summaries and updates
Contract troubleshooting
Organizing, preparing and analyzing financial and other data for improved business intelligence
Develop a managed care contract reimbursement tracking system
Responsible for the development and oversight of policies and procedures for the contracting and provider reimbursement process
Primary manager of contract management system
Serves as payor customer service liaison
Manage/supervise staff
Analyzes healthcare laws and their effects on existing CoxHealth Network “CHN” policies, procedures and managed care contracts
Able to organize, prioritize and multi-task to execute projects and day to day work flow