Hospital/ Health Systems Contract Manager

Job Description

(This position can be a telecommute position. The ideal candidate will be located in either California, Oregon, Washington, Utah, or Nevada) 

We are currently seeking a Hospital/ Health Systems Contract Manager to join our growing Network Development team. Founded in 1980, we are the industry’s most comprehensive provider of healthcare cost management solutions. We have more than 900,000 healthcare providers under contract, an estimated 68 million consumers accessing our network products, and 40 million claims reduced through our network and non-network solutions each year. 

We offer competitive compensation and fantastic benefits, as well as a collegial workplace in a business-casual dress environment. You’ll also find plenty of options for professional development and advancement with us as this position allows you come to in and learn our unique approach at offering healthcare cost management solutions. 

JOB SUMMARY:

This position is responsible for identifying and evaluating opportunities, negotiating optimal reimbursement rates, and drafting contracts for an assigned provider network to ensure patient access to the highest quality, cost-effective providers of healthcare services in accordance with applicable regulations and the Company’s policies, practices and procedures. 

JOB ROLES AND RESPONSIBILITIES:

1.Assist management in the identification and development of contracting priorities for assigned territory to support Network Development contracting initiatives.

2.Negotiate provider contracts to support penetration and discount objectives relative to competitive market tends and client expectations through comprehensive, aggressive execution of region specific contracting goals derived from national and regional objectives related to penetration and discount objectives, and improved contractual terms.

3.Foster and maintain superior provider relationships.

4.May assist in managing relationships with leased networks. 

5.Maintain, and preferably exceed, contracting production and quality standards consistent with established national and regional goals.

6.Prepare analyses, reports and presentations by collecting, analyzing, and summarizing information and trends.

7.Partner with HCE to conduct financial analyses and monitoring of market trends to identify, develop, and implement competitive reimbursement.

8.May serve as mentor to less experienced Provider Contractors through on-going instruction, coaching, modeling, and counseling aimed at developing the type of skills and behaviors that will result in successful resolution of provider contracting. Share provider contracting insights and information with less experienced contractors.

9.Work with Regional Sales and Account Management to respond to and anticipate access requirements and network related performance guarantees. Use information derived from Requests for Proposals (RFP) to assess network adequacy and competitiveness in region.

10.Comply with mandatory training programs requirements, including Human Resources, product orientation and contracting tools and resources.

11.Ensure compliance with established policies and procedures, regulatory requirements, and mandatory training requirements (such as but not limited to HIPAA, integrity, product orientation, and contracting tools/resources).

12.Collaborate, coordinate, and communicate across disciplines and departments.

13.Demonstrate Company’s Core Competencies and values held within.

14.The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

Job Requirements

As a Hospital/ Health Systems Contract Manager with MultiPlan, you will be part of an organization with a proud 30-year legacy of experience and growth. We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities. If this sounds like the kind of career move you’ve wanted to make, and if you meet our qualifications, we want to talk with you!

JOB REQUIREMENTS (Education, Experience, and Training):

•Minimum Bachelor’s Degree in applicable field, or HS Diploma (or GED) and four (4) years of experience related to provider contracting...read more. 

Your benefits will include:

• Medical, dental, and vision coverage

• Life insurance 

• Optional and dependent life insurance

• Short- and long-term disability

• 401(k) employer matching

• Paid time off (earn 20 days per year)

• Paid company holidays

• Floating holiday

• Tuition reimbursement

• Flexible Spending Account

• Employee Assistance Program

• Auto and home insurance discounts (payroll deducted)

Plus Summer hours = Memorial Day to Labor day we get off two hours early EVERY FRIDAY!!

Opportunity. Recognition. Satisfaction. Grow your career with MultiPlan!

Read more and apply now! Multiplan