Provider Contract Consultant
About The Position
The Provider Contract Consultant creates and manages contract templates used across the enterprise to ensure consistency and compliance with all legislative and regulatory requirements. This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Requirements
- Requires a BA/BS degree in a related field and a minimum of 3 years related experience with contract language, contract development, negotiation, and/or administration; or any combination of education and experience, which would provide an equivalent background.
Responsibilities
- Creates common contract templates for various provider groups to be used throughout the enterprise.
- Works closely with Legal and provider contracting management to ensure that contracts meet all federal, state and regulatory requirements.
- Recommends language changes and use of alternative or exception language approved for specific uses.
- Reviews contract language in response to RFPs, audits, and legal clarifications.
- Makes recommendations to contract modifications and presents to governing committee for approval.
- Works with contract negotiators to identify areas where push-back is appropriate and helps to educate contract negotiators on contract language impacts.
- Review contracts to ensure that contract terms and language can be implemented appropriately.
- Researches and quantifies impact to contract modifications.
- Maintains tracking software to assist in reporting and responding to key leadership, providers, and consumers.
- Develops tools to assist contract negotiators in negotiating effective contracts.
Benefits
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical
- dental
- vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
