Manager, Contracts Administration

Cano HealthMiami, FL
1d

About The Position

It's rewarding to be on a team of people that truly believe in making an impact! We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us. Job Summary This role is responsible for managing the tracking and management of all payor agreements within all territories. The role supports the Network Development and Credentialing teams as it relates to contracting, credentialing, process of systems improvement, systems design coordination, and implementation and ongoing maintenance of contracts and credentialing-related initiatives, including Enterprise initiatives as instructed by the Executive team. This role also requires regular consultative contact with cross functional stakeholders, both internally and externally, as it pertains Cano initiatives and as instructed by the Executive team within the designated territory to build rapport, and to fully understand local market dynamics.

Requirements

  • Bachelor’s level education with an emphasis in a relevant field of study, such as business or health services administration and/or the equivalent of 3+ years’ experience in managed care, primary care provider relationships, credentialing and payor agreements is preferred
  • Strong knowledge of Microsoft Office Suite (Excel-basic mathematical formulas, charts, tables) and Power Point is strongly desired.
  • Strong third-party vendor operating procedures and practices.
  • Demonstrated knowledge of prevailing managed care contracts and contracting methodologies.
  • Ability to manage significant workload, and to work efficiently under pressure to meet established deadlines with minimal supervision.
  • Strong project management and time management skills.
  • Excellent written and oral communication for representation of clear and concise results.
  • Strong follow-up skills & organizational skills required.
  • The candidate should understand the financial implications of contracting initiatives.
  • Strong knowledge of Microsoft Office Suite (Excel-basic mathematical formulas, charts, tables) and presentation applications
  • Must possess a high degree of accuracy, efficiency, and dependability.

Nice To Haves

  • Working knowledge of Contract Logix is strongly desired.

Responsibilities

  • Work collaboratively with the Contracting, Network Development and Credentialing teams to manage, and facilitate accuracy of payor and physician networks.
  • Collaborate with the Contracting and Network Development teams and respective Cano stakeholders, as instructed, to ensure that cost-effective contracts are established using known company best practices.
  • Plan, organize, and implement effective strategies using all company programs and tools, in alignment with Company initiatives.
  • Document all applicable contractual agreements
  • Maintain professional and consistent communication with all applicable departments.
  • Attend all meetings, conventions, seminars, and training programs as instructed by the Executive team.
  • Respond in a professional fashion to contracting concerns, executing follow up actions to ensure physician and/or payor issues/opportunities are communicated to appropriate departments.
  • Maintain accountability for adherence to company and divisional organization policies and procedures.
  • Participate in special projects and perform other duties as required.
  • Meeting company standards pertaining to quantity and quality of work performed on an ongoing basis, performing all work-related tasks in a manner that follows all Company policies and procedures currently or to be implemented in the future.
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