Contracting Administrator

Unified Women's Healthcare

1d

About The Position

Unified is a nationwide community of providers, operations specialists, and thought leaders who look for the greatest opportunities to impact every woman’s health, at every stage of their journeys. We are unparalleled in our scale and ability to adapt to address unmet and underserved needs. Through 815+ clinics, 23 IVF labs, nationwide telehealth capabilities, and targeted case management, our 2,700+ independent, affiliated providers deliver comprehensive women’s health services and continuously work to implement methods and develop techniques or platforms that improve the healthcare experience. We remain focused on enabling the discovery of new ways for our affiliated providers to deliver the high-quality care experience women deserve, in the ways they most wish to receive it, and collaborate across our community to make our vision a reality.
We are currently seeking a Contracting Administrator to support our CCRM Fertility business. CCRM Fertility is a global pioneer in fertility treatment, research, science, specializing in IVF, fertility testing, egg freezing, preimplantation genetic testing, third-party reproduction, and egg donation. As a member of CCRM Fertility’s diverse team of professionals, you will be a part of helping families grow and changing lives. We take pride in providing our employees with meaningful employment, a supportive culture, and a well-balanced personal & work life alignment.
The Contracting Administrator supports the Contracting team in the post negotiation operations of payer contracts, internal and external liaison on behalf of Contracting team, along with other managed care related duties.

Requirements

• Bachelor's degree preferred or Equivalent Experience
• 2 years relevant work experience in healthcare contracting, network management, provider relations or related field
• Basic knowledge of contract administration and legal language
• Requires strong attention to detail and highly organized
• Ability to prioritize, multi-task and perform well under pressure
• Experience interpreting healthcare contracts and modeling financial impact of contract changes (with analyst support)
• Comfortable communicating and presenting data and insights
• Excellent interpersonal skills and ability to develop and maintain strong working relationships with internal and external contacts
• Proficiency with Microsoft Excel, Microsoft Word, Adobe and Power Point

Responsibilities

• Works in tandem with National Managed Care Contracting team in essential functions, such as assessing Contract language, verify Contract proprietary rates via fee schedule provided by Plan, develop and maintain relationship with Plan partners at a high level, etc.
• Has assigned Market, direct responsibilities and/or oversight of Contract Administration functionality, including management of Contract repository, ensuring accuracy of proprietary fee schedules against Contract negotiations, responsible for directing meetings with Plans, internal departments, and practice managers, etc.
• Provide Contract Management support, by way of ownership of operationalizing contracts within the Unified environment.
• Responsible for all post executed processes, comprehensive understanding of payment methodologies, able to report to internal and executive level staff, determining and communicating contractual changes (language, adding or removing lines of business, etc.) and/or providing assessment of new products or Plan partners to Director of Contracting for possible addition to Market profile
• Maintenance of Contracting documents
• Monitor and Review Payor Policies to support Contracting markets. Includes distribution of Key Updates to Contracting team and markets
• Field routine questions on managed care issues/concerns from providers
• Field routine questions on managed care issues/concerns from internal Unified departments
• Provide Contracting Negotiation support as needed
• Represent contracting as internal subject matter expert on other projects as needed

Benefits

• Medical, dental, and vision plans, fertility benefits, and supplemental insurance options.
• Vacation, personal days, and paid holidays to help you recharge.
• 401(k) with employer contribution, plus Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs).
• Short- and long-term disability, paid parental leave, basic life insurance, and optional additional coverage.
• Employee Assistance Program, commuter benefits, pet insurance, and identity theft protection.
• Opportunities and resources to support your career growth.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level