Senior Contract Manager (Managed Care Contracting exp required) - REMOTE

Vanderbilt University Medical Center • Nashville, TN

2d • Remote

About The Position

Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization: Managed Care Ops Job Summary: Provides leadership in securing optimal reimbursement and protecting the interests of the organization in contract negotiations, implementation, and management of managed care payor contracts. This position contributes to strategy implementation and negotiations with multi-market health plans and physicians to increase the value of services provided. . KEY RESPONSIBILITIES Responsible for working with the analytics team for financial analysis maintenance, negotiation, renegotiation, and management of all contracts with payors. Plans, prioritizes, collaborates and communicates information regarding projects, issues, and negotiations to ensure relationships are maintained. Collaborate with Revenue teams to assist with any billing/ claim issues Negotiates contracts with payors based on strategic and financial goals, prior contract performance, projected contract performance, and thresholds. Analyzes and finalizes contractual language for operational and financial appropriateness. Develops and maintains internal education communication processes and other tools to enhance contract performance, identification and compliance. The responsibilities listed are a general overview of the position and additional duties may be assigned. Collaborate with Revenue teams to assist with any billing/ claim issues and lead joint operational committee meetings Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more. At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose. Core Accountabilities: Organizational Impact: Independently delivers on objectives with understanding of how they impact the results of own area/team and other related teams. Problem Solving/ Complexity of work: Utilizes multiple sources of data to analyze and resolve complex problems; may take a new perspective on existing solution. Breadth of Knowledge: Has advanced knowledge within a professional area and basic knowledge across related areas. Team Interaction: Acts as a "go-to" resource for colleagues with less experience; may lead small project teams. Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled. PEOPLE ARE AT THE HEART OF ALL WE DO. Our vision: The world leader in advancing personalized health. Our mission: personalizing the patient experience through our caring spirit and distinctive capabilities. Making Health Care Personal. We’re looking for like-minded individuals driven to make a difference. We invite you to explore careers at Vanderbilt University Medical Center. At VUMC, we place a priority on designing with and for our patients and families. We value collaboration, embrace continuous learning and discovery, and seek to be a place where everyone has the chance to thrive. We’re the largest private employer in Middle Tennessee, with a growing team and expanding footprint in towns and communities across the region. We employ more than 28,000 people who work in inpatient and outpatient clinical care, research, and graduate medical education as well as critical supporting roles in administration, information technology and informatics, finance, legal and community affairs, communications and marketing, fund-raising, groundskeeping and facilities, and many more. Our growing health system has more than 1,700 licensed hospital beds at: Vanderbilt University Hospital Monroe Carell Jr. Children’s Hospital at Vanderbilt Vanderbilt Psychiatric Hospital Vanderbilt Stallworth Rehabilitation Hospital Vanderbilt Wilson County Hospital Vanderbilt Bedford Hospital Vanderbilt Tullahoma-Harton Hospital It’s also home to hundreds of outpatient clinic and surgical locations throughout the region. We serve our community with many unique and specialized services including the Level 1 Trauma Center, a highly experienced Transplant Center that does the most heart transplants in the world, a National Cancer Institute-designated Comprehensive Cancer Center, Lung Institute, Burn Center and many more. World-leading academic departments and centers make scientific discoveries, advance clinical care and train the next generation of health care professionals. Our robust research enterprise consistently ranks among the highest in the country as measured by peer-reviewed grant funding from the National Institutes of Health. We’re honored to be consistently considered among the nation’s best hospitals, including being nationally ranked in multiple medical specialties for treating the most complex conditions in adults and children by US News and World Report. Monroe Carell Jr. Children’s Hospital at Vanderbilt ranked as the No. 1 children’s hospital in the southeast in 2024. We support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at VUMC for professional growth, appreciation of benefits, and a sense of community and purpose. Join us in Making Health Care Personal.

Requirements

• Financial Analysis (intermediate): The process of evaluating businesses, projects, budgets, etc. to determine their performance, stability and profitability.
• Contract Negotiations (intermediate): Demonstrates an understanding of negotiating skills such as building trust, gaining commitment, managing the opposition and maintaining goodwill. Realizes the need for mutual concessions and accommodations and negotiates with others for resources, actions or buy-in to maximize collaborative outcomes.
• Networking (Intermediate): Build relationships through industry contacts, professional organizations and individuals.
• Communication (Advanced): Clearly, effectively and respectfully communicates to employees or payors.
• Relevant Work Experience Experience Level: 5 years
• Education: Bachelor's

Responsibilities

• Responsible for working with the analytics team for financial analysis maintenance, negotiation, renegotiation, and management of all contracts with payors.
• Plans, prioritizes, collaborates and communicates information regarding projects, issues, and negotiations to ensure relationships are maintained.
• Collaborate with Revenue teams to assist with any billing/ claim issues
• Negotiates contracts with payors based on strategic and financial goals, prior contract performance, projected contract performance, and thresholds.
• Analyzes and finalizes contractual language for operational and financial appropriateness.
• Develops and maintains internal education communication processes and other tools to enhance contract performance, identification and compliance.
• The responsibilities listed are a general overview of the position and additional duties may be assigned.
• Collaborate with Revenue teams to assist with any billing/ claim issues and lead joint operational committee meetings

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees