1+ months

PAYER CONTRACTS MANAGER

University of Washington
Seattle, WA 98104

PAYER CONTRACTS MANAGER

Req #: 174417
Department: UW MEDICINE CONTRACTING AND PAYER RELATIONS
Job Location: Other Location
Job Location Detail: HMC Patricia Steel Building (401 Broadway, Seattle) 
Posting Date: 12/18/2019 
Closing Info: Open Until Filled 
Salary: Salary is commensurate with education and experience. 
Shift: First Shift 
Notes: This position provides opportunities to work in a fast-paced, challenging, diverse and rewarding environment.  As an employee you will enjoy generous benefits and work/life programs.  For detailed information on Benefits for this position, click here.  

UW Medicines mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrows physicians, scientists and other health professionals.  UW Medicine owns or operates Harborview Medical Center (HMC), Northwest Hospital & Medical Center (NWH), Valley Medical Center (VMC), UW Medical Center (UWMC), a network of UW Medicine Neighborhood Clinics (UWNC) that provide primary care, UW Physicians, UW School of Medicine, Airlift Northwest, and other owned, operated or affiliated entities as appropriate. In addition, UW Medicine shares in the ownership and governance of Childrens University Medical Group and Seattle Cancer Care Alliance a partnership among UW Medicine, Fred Hutchinson Cancer Research, and Seattle Childrens.

UW Medicine Contracting & Payer Relations has an outstanding opportunity for a Payer Contracts Manager.  You will be responsible for assuring that healthcare payer contracts are drafted, edited, managed, and maintained in a manner that is fiscally responsible and compliant with legal, regulatory, and UW Medicine standards.  Serve as a primary reviewer and drafter of payer contract language.  You will be the primary support to the Director of Contracting with regard to contract language for all UW Medicine department payer contract negotiations.

POSITION RESPONSIBILITIES:

  • Contract Review, Editing, & Drafting: Ensure that the terms of all Contracting and Payer Relations contract documents are complete, advantageous, prudent, and compliant with UW Policy.  Work with legal and the payer to assure mutual understanding and complete clarity in the written document.
  • Record-keeping: Ensure Contracting and Payer Relations related contract files are in order and kept up to date, and archived in compliance with records management policies and procedures. 
  • Policies & Procedures: Create policies and procedures manual sections; comply with policies and procedures; orchestrate staff training.
  • Regulatory Requirements: Gain and maintain knowledge of all applicable regulatory requirements for contracts, including Office of Insurance Commissioner and Healthcare Authority WACs, Medicare/CMS Regulations, and ERISA, as well as UW/UW Medicine policy.
  • Department Liaison: Serve as liaison with UW and UW Medicine and its individual entities, including Compliance, Risk Management, the AAG & Attorney Generals Office, Office of General Counsel, Office of Medical Staff Appointments, Chief Medical Officer, CMO's office, Hospital and Department Administrators, Patient Financial Services, Vice Presidents, and Quality Improvement.
  • Contract Renewals: Maintain work plan of contract renewal schedules, assist in establishing negotiation timelines, and maintain schedule to assure the Department may sufficiently prepare for and address each contract in time for renewal or anniversary, allowing adequate time for the negotiation process.  Maintain a schedule to track and assure compliance with all deliverables in each payer contract, including delegated credentialing contracts and any regulatory addenda for all agreements.
  • Perform other duties as assigned.

  • REQUIREMENTS:

  • Master's degree in Healthcare Administration, Business Administration, or related field.
  • Four to five years of contract language authoring and redlining experience to include healthcare/managed care payer contract redlining, drafting, and management.
  • Experience with creative and complex healthcare reimbursement methodologies.
  • In depth knowledge of Medicare, Medicaid, and Washington state managed care contracting regulations.
  • Excellent verbal and written communication skills.
  • High attention to detail and effective organizational skills.
  • Ability to effectively and efficiently manage a busy workload of multiple tasks and projects.

  • DESIRED:

  • Familiarity with local managed care market.
  • Experience/familiarity with value-based contracting.
  • Masters degree, JD, or other advanced degree preferred.
  • Familiarity with contract modeling software and analytics.
  • Participation in HFMA, ACHE, MGMA, or other healthcare professional society.
  • REQUIREMENTS:
    see above

    Committed to attracting and retaining a diverse staff, the University of Washington will honor your experiences, perspectives and unique identity. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.

    The University of Washington is a leader in environmental stewardship & sustainability, and committed to becoming climate neutral.

    The University of Washington is an equal opportunity, affirmative action employer. To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 / 206-543-6452 (tty) or dso@uw.edu.


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    Posted: 2019-12-05 Expires: 2020-02-15

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    PAYER CONTRACTS MANAGER

    University of Washington
    Seattle, WA 98104
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