Senior Contract Administrator-Managed Care
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Job Location:
Chicago, IL - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
The Senior Contract Admin reflects the mission vision and values of NM adheres to the organizations Code of Ethics and Corporate Compliance Program and complies with all relevant policies procedures guidelines and all other regulatory and accreditation standards.
Responsibilities:
- Evaluates general and specialty payor proposals in conjunction with Manager Contracting/Transplant Director Managed Care and the Financial Planning and Decision Support team.
- Ties in Long Range Financial Plan considerations as well as viability factors for service lines and potential expansion of programs.
- Interacts with key hospital areas administrative and clinical to provide Managed Care perspective and feedback on issues impacts and concerns regarding insurance payors.
- Coordinates completion of RFIs Center of Excellence proposals credentialing packets and any other informational requirements received from payors.
- Develops and maintains productive relationships with managed care payors specialty payors brokers employer groups and other parties that support hospitals strategic goals and objectives.
- Communicates status and progress of the contracting team to internal hospital departments including but not limited to Revenue Cycle General Counsel and Senior Management.
- Maintains productive and collegial relationships with internal areas.
- Responds to Contract Auditor/Billing and Follow Up concerns and issues with prompt turnaround and efficiency.
- Analyzes and evaluates local and national managed care issues and market trends; keeping up to date on local market share and demand.
- Measures overall contract performance using Financial and Revenue Cycle data
- Collaborates on contract implementation.
- EOE/AA
Qualifications :
Required:
- Bachelors degree.
Preferred:
- Five or more years in healthcare negotiation experience on behalf of hospital/health system or large national payor.
- Masters Degree in Healthcare Business or like studies.
Additional Information :
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age sex race color religion national origin gender identity veteran status disability sexual orientation or any other protected status.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical emotional and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Remote Work :
No
Employment Type :
Full-time
Key Skills
- IVR
- SOAP
- Avaya
- Solaris
- Cost Accounting Standards
- Database Design
- Hibernate
- ITIL
- Weblogic
- Express.js
- Contracts
- ASP
About Company
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for bett ... View more
