Contract Manager
CoxHealth
full-time
Posted on:
Location Type: Hybrid
Location: Springfield • Montana • United States
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About the role
- 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
- Organize, prepare and analyze 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.
Requirements
- A Bachelor’s Degree in Business Administration, Finance, Healthcare Management or a related field OR at least 4 years of equivalent experience
- 3 years’ experience in healthcare, managed care, insurance, healthcare consulting, legal, or a related field
- Must have effective negotiating skills and above average knowledge of the current managed care environment
- 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
- Knowledge of Excel, Word, Access and Power Point software applications
Benefits
- Medical
- Vision
- Dental
- Retirement Plan with employer match
- and many more!
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
contract negotiationcontract managementfinancial analysiscontract tracking system developmentmanaged care reimbursement trackingpolicy developmentcompliance standards analysisutilization report developmentdata analysiscontract troubleshooting
Soft Skills
negotiating skillscritical thinkinginterpersonal skillsanalytical skillsoral communicationwritten communicationattention to detailorganizational skillsproblem-solvingstaff management