Contract Manager

CoxHealth•Springfield, MO

5d•Onsite

About The Position

CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned numerous honors for workplace excellence, including being named one of Modern Healthcare’s Best Places to work five times, and recognized by Newsweek and Plant-A Insights Group for various workplace awards. Forbes has acknowledged them as one of the Best Employers for New Grads, and Healthcare Innovation recognizes them as a Top Company to Work for in Healthcare. This role is responsible for negotiating a multitude of contract documents, including Managed Care Organization, Medicare Advantage, Medicaid Managed Care, Accountable Care, Commercial, workers compensation, and employer group contracts. The position utilizes standard contracting documents, develops and implements contract ranking/qualifying and tracking systems, prepares contract summaries and updates, and handles contract troubleshooting. Additionally, this role organizes, prepares, and analyzes financial and other data for improved business intelligence, develops a managed care contract reimbursement tracking system, and oversees policies and procedures for the contracting and provider reimbursement process. The Contract Manager is the primary manager of the contract management system, serves as a payor customer service liaison, manages/supervises staff, and analyzes healthcare laws and their effects on existing CoxHealth Network policies, procedures, and managed care contracts. The ability to organize, prioritize, and multi-task is essential for executing projects and daily workflow.

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
Above average knowledge of the current managed care environment
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

Nice To Haves

Local market knowledge preferred

Responsibilities

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
Organizing, preparing and analyzing financial and other data for improved business intelligence
Develop a managed care contract reimbursement tracking system
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