Associate Director – Managed Care Contracting
Advocate Aurora Health
full-time
Posted on:
Location Type: Remote
Location: North Carolina • United States
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Salary
💰 $51 - $77 per hour
Job Level
About the role
- Responsible for managed care portfolio performance for assigned payors
- Implementation of contracting strategy for the System
- Monitor contract performance versus expected, and recommend any action needed
- Completes multi-level analysis of contract language understanding current implications to the Total Enterprise
- Able to review complete existing and proposed contract language and identify current risk and impact to the Total Enterprise
- Assists in the development and implementation of the System's strategies and objectives related to managed care contracting
- Responsible for rate and language negotiation of assigned payor agreements
- Monitors, regularly reviews and report financial and operational performance of assigned payor contracts versus expectations
- Gathers and analyzes data and apply methodologies
Requirements
- Bachelor's degree required, Master's degree preferred (MBA or MHA preferred)
- Minimum of 5 years experience as a contract negotiator with a large provider or 7 years small provider or payor experience as a contract negotiator with a Bachelor's degree
- Minimum of 3 years experience as a contract negotiator with a large provider or 5 years small provider or payor experience as a contract negotiator with a Master's degree
Benefits
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
contract negotiationdata analysiscontract language reviewrisk assessmentfinancial performance monitoringoperational performance monitoringcontract performance analysiscontracting strategy implementationmanaged care portfolio management
Soft Skills
strategic thinkingcommunicationproblem-solvinganalytical skillscollaboration
Certifications
Bachelor's degreeMaster's degreeMBAMHA