Overview
Job Summary
Responsible for managed care portfolio performance for assigned payors. Work with Management on implementation of contracting strategy for the System. Independently negotiate contract language and rates for minor payors, or major payors when the scope of the negotiation is limited. Negotiate payor agreements with Director/AVP support. Monitor contract performance versus expected, and recommend any action needed.
Essential Functions
Physical Requirements
Perform most work under normal office conditions; may include sitting for long periods of time, standing, walking, using repetitive wrist/arm motion or lifting articles up to twenty-five pounds.
Education, Experience and Certifications
Bachelor's degree required, Master's degree preferred (MBA or MHA preferred). Minimum of 3 years experience as a contract negotiator with a large provider or 5 years small provider or payor experience as a contract negotiator with a Bachelor's degree. -OR- Minimum of 2 years experience as a contract negotiator with a large provider or 4 years small provider or payor experience as a contract negotiator with a Master's degree.