Contract Manager, Hospital, Physician & Ancillary Negotiations

• Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers
• Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities
• Initiates and maintains effective channels of communication with matrix partners
• Contributes to the development of alternative network initiatives
• Works to meet unit cost targets, while preserving an adequate network
• Creates and manages initiatives that improve total medical cost and quality
• Drives change with external provider partners by assessing clinical informatics
• Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts
• Creates healthcare provider agreements that meet internal operational standards
• Assists in resolving elevated and complex provider service complaints
• Manages key provider relationships
• Demonstrates knowledge of providers in an assigned geographic area
• Responsible for accurate and timely contract loading and submissions
• May provide guidance or expertise to less experienced specialists

• 3+ years Physician/Ancillary/Hospital contracting and negotiating experience involving complex delivery systems and organizations required
• Experience in a Managed Care, Healthcare or Health Insurance environment
• Experience with Commercial Healthcare contracting
• Experience in developing and managing key provider relationships
• Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred
• Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners
• Intimate understanding and experience with hospital, managed care, and provider business models
• Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization
• The ability to influence both sales and provider audiences through strong written and verbal communication skills
• Experience with formal presentations
• Customer centric and interpersonal skills are required
• Demonstrates an ability to maneuver effectively in a changing environment
• Superior problem solving, decision-making, negotiating skills, contract language and financial acumen
• Knowledge and use of Microsoft Office tools
• Should possess a bachelor’s degree
• preferably in the areas of Finance, Economics, Healthcare or Business related
• Significant industry experience will be considered in lieu of a bachelor’s degree
• MBA or MHA preferred

MBA or MHA preferred