Senior Contracts Administrator

Hartford HealthCare•Hartford, CT

21h

About The Position

The Senior Contracts Administrator is responsible for acting as a resource for both internal (Patient Financial Services, Legal, Marketing and Communications, etc.) and external (Payers) stakeholders regarding Hartford HealthCare (HHC) contracts specific to hospital, physician, behavioral health, etc. The role will act as the first line resource for contract related inquiries, resolving issues independently when possible and escalating issues as appropriate.

Requirements

Minimum of 8 years of experience in a healthcare-related field with in-depth knowledge of Payer/provider contracting particularly focusing on hospital, physician, behavioral health, skilled nursing, home health care, and rehabilitation with a solid understanding of reimbursement methodologies.
In-depth knowledge of contract language, particularly those provisions that have financial or administrative cost impacts and claims adjudication.
Demonstrated experience using technology, analytics, and system-based tools to improve contract accuracy, compliance, and operational efficiency.
Experience in billing and coding issues is required as well as broad knowledge of healthcare finance and accounting issues.
Strong interpersonal and communication skills are essential as well as demonstrated ability to work collaboratively across functional areas.
Critical thinker/problem solver who is results-oriented.
Proficient in Microsoft Excel, Word, Outlook and One Note.
EPIC experience.

Nice To Haves

BA/BS in Healthcare Administration, Healthcare Management, Business Administration, Finance or Mathematics.
SQL knowledge and/or experience working with large datasets.

Responsibilities

Act as the first line resource for hospital, physician, behavioral health and ancillary contract related inquiries, escalating issues as appropriate and assuming overall accountability for ensuring resolution to issues within specified timeframes with 100% accuracy.
Proactively identify opportunities for process improvement, automation, and increased efficiency within contract administration workflows, generating and implementing innovative solutions that enhance accuracy, compliance, and operational performance.
Catalogue payer issues ensuring that they are addressed either immediately through EPIC updates, working with the payer, or contract amendments during renegotiations.
Perform timely maintenance and auditing of the Epic contract build, ensuring accuracy in expected reimbursement at time of billing.
Partner closely with Payer Analytics to ensure standard workflow processes are followed such as contract re-evaluations, payer updates, policy review and any other cross-team functions.
Support ongoing payer negotiations focusing on strengthening contract terms and provisions.
Develop collaborative internal relationships across the system working with Revenue Cycle, Revenue Integrity and other HHC entities to provide updates and clarification on contract rate renewals and interpretation.