Contracting Manager

Unified Women's Healthcare • Town of Berlin, NY

1d • Remote

About The Position

This role is fully remote, however candidates must be located in or near Kansas City, MO for ease of travel within the market
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.
The Manager of Contracting supports the Contracting team in the negotiation of payer contracts along with other managed care related duties.

Requirements

• Bachelor's degree required
• 4+ years relevant work experience in healthcare contracting, network management, healthcare pricing, healthcare economics or related field
• Commercial, Medicare and/or Medicaid Managed Care Contract negotiation experience for health plan, hospital or physician group
• Intermediate knowledge of CINs and ability to collaborate with entity and providers
• Intermediate knowledge of Value Based negotiations
• Experience interpreting healthcare contracts and modeling financial impact of contract changes (with analyst support)
• Comfortable communicating and presenting data and insights
• Requires a high level of initiative, sound judgment, and the ability to work independently.
• Excellent interpersonal skills and ability to develop and maintain strong working relationships with internal and external contacts
• Proficiency with Microsoft Excel and Power Point
• Up to 20% travel required

Responsibilities

• Build relationships with key payer network managers and representatives
• Assist National Managed Care Contracting team in essential functions
• Evaluate managed care proposal contracting terms and rates
• Partner with the Clinical Transformation Manager on value-based contract goals and initiatives by reviewing provider performance reports from health plans to develop action plans to remedy outliers
• Field routine questions on managed care issues/concerns from providers
• 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: Manager