ContractProvider Sr Service Manager
ContractProvider Sr Service Manager
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Salary Not Disclosed
1 Vacancy
Job Description
Overview
Be inspired. Be rewarded. Belong. At Emory Healthcare.
At Emory Healthcare we fuel your professional journey with better benefits valuable resources ongoing mentorship and leadership programs for all types of jobs and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
- Comprehensive health benefits that start day 1
- Student Loan Repayment Assistance & Reimbursement Programs
- Familyfocused benefits
- Wellness incentives
- Ongoing mentorship development and leadership programs
- And more
Description
- Independently assesses analyzes and negotiates payer contracts for all hospital and professional entities within Emory Healthcare (EHC).
- Manages information for loading and maintaining payer contracts in EHC decision support systems.
- Implements new contracts amendments and business process modifications.
- Manages provider service relationships for assigned payer organizations and assigned EHC provider entities by managing contract interpretation for operational issues and problem resolution.
- Determines and manages revenue enhancement opportunities for EHC entities through enhanced contract management.
- Manages the balance of contract negotiations and provider service interests through dual responsibility.
- Performs other related duties as required.
MINIMUM QUALIFICATIONS: - Bachelors degree required.
- Masters degree preferred.
- Four years experience required but prefer seven years of healthcare related experience preferably in a complex Provider or Payer managed care organization.
- Demonstrates innovative and critical thinking with creative approaches to problem solving.
PREFERRED QUALIFICATIONS:
- Hospital and professional contract experience.
Additional Details
Emory is an equal opportunity employer and qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcares Human Resources at . Please note that one weeks advance notice is preferred.
Required Experience:
Manager
Employment Type
Full-Time
