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Job Requirements of Contract Manager - Managed Care Anes and Specialty:
QUALIFICATIONS / EXPERIENCE:
- The ability to interact with staff in a professional, supportive, and effective manner.
- An understanding of proper negotiation techniques.
- Demonstrate the capacity to utilize software applications and databases, including IDX BAR and TeamWorks.
- An understanding and application of medical billing and reimbursement procedures/practices.
- The ability to comprehend and think logically and proven leadership skills.
- Strong oral and written communication skills.
- The ability to interrelate, teach, and convey information to the staff.
- Must have a good working knowledge of Microsoft Office software, such as Excel, Word, and PowerPoint, and the ability to manage and use databases.
- A bachelor's degree in business or healthcare administration or equivalent education and experience is preferred.
- At least 3 to 5 years of experience in managed care contracting with a payer, hospital, or large physician practice.
SUPERVISORY RESPONSIBILITIES:
- none
PHYSICAL / ENVIRONMENTAL DEMANDS:
The work location is remote.
The position requires minimal travel.
This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key keyboard, calculator, and office machines (copier, scanner, fax).
It may also require the ability to perform repetitive motions and/or meet production standards to comply with the essential functions.
Also, it may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule, and/or more than five days per week.
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Contract Manager - Managed Care Anes and Specialty
TeamHealth has been named among the "150 Top Places to Work in Healthcare" by Becker's Hospital Review, has been ranked three years running as "The World's Most Admired Companies" by Fortune Magazine, and has been named one of America's 100 Most Trustworthy Companies by Forbes Magazine in past years. TeamHealth is an established healthcare organization that is physician-led and patient-focused. We continue to grow across the U.S., from our Clinicians to our Corporate Employees, and we want you to join us.
JOB DESCRIPTION OVERVIEW:
The Contract Manager assists the Senior Contracts Manager in managing and negotiating assigned Managed Care Plans. This includes analyzing proposed contracts, conducting financial impact studies, and proposing negotiating tactics. The position interacts with various individuals, including corporate and division management, client hospitals, and physician leadership.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Assists the Senior Contracts Manager in managing all aspects of the negotiation of managed care plans, including, but not limited to, examination and analysis of contract documents, evaluation of the financial implications of the proposed contract, and developing negotiating tactics and strategy.
- Oversee notification of TeamHealth on all managed care billing arrangements.
- Monitor and develop existing systems to increase effectiveness and efficiency.
- Utilize information systems, such as IDX and Excel, to develop financial analyses of managed care plans.
- Review and development of managed care reports.
- Support and promote effective communication and interaction with representatives from the billing operation centers, affiliates, and managed care organizations.
- Act as a liaison with hospitals to resolve managed care issues.
- Responsible for maintaining information regarding managed care contracts.
- Review each proposed managed care agreement and recommend changes and modifications to conform to TeamHealth contract guidelines.
- Review requests submitted for the creation of new financial classes (FSCs).
- Accountable for managing the contract files for all managed care plans, including updates on pending expirations or proposed amendments and file maintenance.
- Coordinate and ensure proper loading of contract terms into IDX and ongoing maintenance.
- Manage and complete projects as assigned by the Senior Contracts Manager.
Job Requirements:
QUALIFICATIONS / EXPERIENCE:
- The ability to interact with staff in a professional, supportive, and effective manner.
- An understanding of proper negotiation techniques.
- Demonstrate the capacity to utilize software applications and databases, including IDX BAR and TeamWorks.
- An understanding and application of medical billing and reimbursement procedures/practices.
- The ability to comprehend and think logically and proven leadership skills.
- Strong oral and written communication skills.
- The ability to interrelate, teach, and convey information to the staff.
- Must have a good working knowledge of Microsoft Office software, such as Excel, Word, and PowerPoint, and the ability to manage and use databases.
- A bachelor's degree in business or healthcare administration or equivalent education and experience is preferred.
- At least 3 to 5 years of experience in managed care contracting with a payer, hospital, or large physician practice.
SUPERVISORY RESPONSIBILITIES:
- none
PHYSICAL / ENVIRONMENTAL DEMANDS:
The work location is remote.
The position requires minimal travel.
This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key keyboard, calculator, and office machines (copier, scanner, fax).
It may also require the ability to perform repetitive motions and/or meet production standards to comply with the essential functions.
Also, it may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule, and/or more than five days per week.