6 days old

Payer Relations Contracts Consultant

Allina Health
Minneapolis, MN 55415

Requisition #

63024BR

Physical Location

Minneapolis, Minnesota

Posted Date

20-Mar-2020

Dept. Name

Payer Relations and Contract

Hours Per Week

40

Contract

Noncontract

Introduction

Allina Health is dedicated to the prevention and treatment of illness and enhancing the greater health of individuals, families and communities throughout Minnesota and western Wisconsin. A not-for-profit health care system, Allina Health cares for patients from beginning to end-of-life through its 90+ clinics, 12 hospitals, 16 pharmacies, specialty care centers and specialty medical services that provide home care, senior transitions, hospice care, home oxygen and medical equipment, and emergency medical transportation services. Allina Health is a vibrant, growing organization with opportunities to suit your professional skills and a diverse work environment to match your specific interests. We believe employees are our greatest asset and are dedicated to helping you develop and maximize your professional skills.

The Commons, located in Minneapolis, is the headquarters of Allina Health, a not-for-profit health care organization serving patients and communities. Approximately 1,600 corporate and administrative service employees work at offices within Midtown Exchange, the site of the historic Sears retail complex at Chicago Avenue and E. Lake Street. This community landmark, adjacent to the campus of Abbott Northwestern Hospital, part of Allina Health, is the second largest building in Minnesota and includes offices, an internationally themed public market and residential units.

 

Responsibilities

Req ID: 63024

The Contract Consultant serves as an interface between health plans and Allina business units to coordinate efforts in the evaluation, prioritization, and resolution of service issues. Develops communications and engages impacted staff regarding health plan policy and procedure changes by monitoring newsletters and other publications.

Monitors contractual obligations working closely with Directors and Contract Managers to ensure compliance. Supports assessment of the impact of contract terms to business units, advocates for changes into agreements where necessary to support administrative simplification.
Researches escalated claims issues to determine whether claims processed in accordance with health plan agreement; requires understanding of how to read a claim, basic coding, payment methodologies, and application of health plan coverage policies.

Supports Directors and Contract Managers who lead most health plan negotiations. This role leads contracting efforts for single case and county agreements. Leads the evaluation of new payer agreements.

Education

Bachelor’s degree or actively working toward; degree in health administration, business administration, economics, finance, or other related field preferred

Qualification/Skills

  • Prefer health plan or health care system managed care department or hospital/physician managed care contracting experience
  • Organization and time management skills
  • Ability to communicate in concise manner, both orally and in writing
  • Solid critical reasoning and problem solving
  • Knowledge of healthcare payment methodologies desired
  • Ambitious, self-directed

Work Schedule

  • Monday through Friday
  • Days
  • Occasional Weekend
  • NCT
  • Benefit Eligible
  • Exempt

Location/Community Information

Minneapolis boasts being both cosmopolitan yet small enough that you can find a place to call home whether on a lake, golf course, or in an adjoining suburb. With the fast pace of activity there are professional sports, theater, or enough parks for a quiet walk. The area has numerous schools and colleges, both public or private, and enough teams for all weekend athletes to join.

  • Located in Minneapolis
  • Population = 380,000
  • Service Area = 2,882,245

Community Resource Links:

Community Information School Digger

Explore Minnesota MN Dept of Education

Minneapolis St. Paul MagazineSt. Paul Pioneer Press

Twin Cities Living MagazineStar Tribune


Closing

If you are interested in becoming part of our award winning team of professionals, please apply online today. Allina Health is committed to providing Equal Employment Opportunities to all employees and applicants. EO M/F/Disability/Vet Employer.


Requisition #

63024BR
Finance

Categories

Posted: 2020-03-23 Expires: 2020-04-22

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Payer Relations Contracts Consultant

Allina Health
Minneapolis, MN 55415

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast