Contract Manager

Description

:Negotiate a multitude of contract documents, including, but not limited to, Managed Care Organization, Medicare Advantage, Medicaid Managed Care, Accountable Care, Commercial, workers compensation and employer group contracts; utilize standard contracting documents in these relationships; develop and implement contract ranking/qualifying system; develop and implement contract-tracking system; prepare contract summaries and updates; contract troubleshooting. This position is responsible for organizing, preparing and analyzing financial and other data for improved business intelligence. Develop a managed care contract reimbursement tracking system. Responsible for the development and oversight of policies and procedures for the contracting and provider reimbursement process. Primary manager of contract management system; serves as payor customer service liaison; manage/supervise staff; analyzes healthcare laws and their effects on existing CoxHealth Network "CHN" policies, procedures and managed care contracts. Able to organize, prioritize and multi-task to execute projects and day to day work flow.Education: Required: A Bachelor's Degree in Business Administration, Finance, Healthcare Management or a related field OR at least 4 years of equivalent experience Experience: Required: 3 years' experience in healthcare, managed care, insurance, healthcare consulting, legal, or a related field Skills: Must have effective negotiating skills and above average knowledge of the current managed care environment. Local market knowledge preferred Working knowledge of healthcare industry Proficient in developing and an in depth understanding of financial and utilization reports used to monitor contract performance and identify payer trends Ability to understand complex hospital/payor contract agreements and determine compliance standards are being adhered to Ability to think critically and objectively in high pressure situations Strong interpersonal and analytical skills Strong oral and written communication skills Extraordinary attention to detail Experience in developing policies & procedures producing efficiency Familiarity with common office equipment to include PC, fax machine, multi phone lines, copier and scanner 10-key, memory typewriter and copier Knowledge of Excel, Word, Access and Power Point software applications Licensure/Certification/Registration: N/A