MGR, Contracting - Health Plan Relations (East Region)

AMSURG•Nashville, TN

5h•Remote

About The Position

The Manager, Contracting – Health Plan Relations is responsible for supporting AMSURG’s managed care contracting activities including payer negotiations and contract research. This role operates remotely and involves supporting relationships with AmSurg operations by executing on center-level contracting priorities, contracting and onboarding acquisitions, de novo centers and new provider affiliations with payers. The position also focuses on client satisfaction through internal and external communication, assisting in the development of departmental goals and contracting plans, and preparing reports/presentations on contract rates and payer mix. Proficiency with financial reports and modeling, and the development of internal training tools related to health plan contracting are also key aspects of this role. The ability to work in a matrix environment, provide input to corporate initiatives, and demonstrate strong customer relationship management and leadership skills are essential.

Requirements

Strong organizational and written/oral communication skills
Ability to work independently and with little supervision
Excellent ability to manage to deadlines
Ability to positively handle conflict
Must be fluent in Microsoft Office applications
Position requires overnight travel up to 25% of the time
5 - 8 years relevant experience including managed care contracting, financial analysis, payment methodologies, contract language and negotiations
Equivalent experience considered
Bachelor’s degree required

Responsibilities

Support contract negotiations, contract research and on-going payer relationships.
In collaboration with Directors and as directed by Vice President, Contracting, support relationships with AmSurg operations by executing on center-level contracting priorities.
Contract and onboard acquisitions, de novo centers and new provider affiliations with payers as directed.
In collaboration with Directors, facilitate the monitoring of payer issues such as provider participation, contract loading and payment issues.
Focus on client satisfaction through internal and external communication.
Assist in the development of departmental goals and contracting plan, executing projects to achieve these goals, and working closely with others within the department to continuously monitor department performance.
Prepare reports / presentations to present contract rates, payer mix, etc.
Demonstrated proficiency with financial reports and modeling.
Preparing internal training or educational tools as they related to health plan contracting.
Comply with departmental standard operating procedures for contract negotiations, modeling and loading.
Ability to work in a matrix environment where multiple and competing customer demands are likely.
Provides input to the appropriate individuals to contribute to the development of corporate initiatives.
Self-directed with a strong bias for action.
Excellent customer relationship / management skills.
Demonstrated leadership and/or people management skills.
Travel overnight and locally as needed.
Other duties as assigned.