Physician Contracts Manager - Marion

OhioHealth • Marion, OH

76d

About The Position

The primary focus of this role is to lead the contracting strategy, by developing, implementing, communicating, managing and monitoring the needs of the physician contracting program. This role is a subject matter expert, with current knowledge of policies, procedures, compliance, fair market value acumen and state & federal rules and regulations. The depth of specialized expertise within the role is necessary and must be maintained to facilitate the success of the compliance initiatives aligned with physician contracting. The purpose of this position is to: (a) lead and manage the physician contracting program by ensuring all individual physician and physician group contracts are in full compliance with hospital policies and governmental regulations, (b) manage the physician payroll process to ensure timely and accurate payment for services, and to (c) oversee monitoring of the monthly department and financial reports to maintain expenditure controls. In addition, this position contributes to the development of contracting strategy projects and captures and tracks program trends. In this position, you will work cross-functionally with leadership, legal and key stakeholders on matters related to physician compensation in assigned hospitals to help meet business objectives while ensuring compliance with all federal, state and local laws and regulations.

Requirements

• Bachelor's Degree in Healthcare or related field.
• CHC - Certified in HealthCare Compliance - HCCA Health Care Compliance Association.
• 5 years of experience in hospital physician contracting.
• Extensive experience in the highly specialized field of physician contracts may be considered as substitution in lieu of degree.
• Physician fair market value analysis experience.
• Financial reporting skills.
• Demonstrated knowledge/understanding of Hospital/service line operations and concepts.
• Ability to independently identify solutions to complex problems and process faults.
• Ability to multi-task and prioritize requests from multiple senior executives simultaneously.
• Excellent writing composition skills and strong communication skills.
• Advanced computer MS application expertise.
• Database management experience (Access, Excel and/or SharePoint).

Nice To Haves

• 5+ years of hospital physician contracting experience.
• Database management expertise (Access, Excel and/or SharePoint).
• Complex financial reporting capabilities.
• Effective presentation and verbal skills.
• 10 years experience with a hospital or healthcare organization.

Responsibilities

• Manage payment administration, monthly variance reporting and reconciliation process for hospital contracted or employment services physician or physicians groups for payment through accounts payable or payroll.
• Provide timely, accurate and appropriate levels of information to facilitate sound decision making.
• Clearly and professionally communicate contract terms and payment structures to physicians, hospital leaders and other key stakeholders.
• Assist in analysis and coordination of amendments, reimbursement, and contractual language changes.
• Interact closely with executive team and system stakeholders addressing strategic goals and objectives.
• Develop and produce custom and system templates, forms, guidelines, procedures, executive and associate user guides, audit materials/checklists for cross-campus physician contract compliance use.
• Ensure all physician contracts are documented, processed, implemented and paid within appropriate fair market value by OhioHealth system policies, standards, and abiding by state and federal laws.
• Create, implement and manage a relational database for each physician contract relationship with hospital with advanced tracking and customize report capabilities.
• Design, maintain, and administer campus-specific or system-wide projects related to physician contract policy/process.
• Provide consultative services as content expert to other care sites regarding physician contracting policy/process.
• Participate as a member or invited as the Content Expert of various committees and teams.
• Meet with government regulators or surveyors during announced or unannounced site visits and audits.

What This Job Offers

• Job Type: Full-time
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree