1+ months

Payor Contract Manager Sr

Multicare Health System
Tacoma, WA 98402
The reasons to work at MultiCare are as unique as the people who do. Join us for the professional challenges you seek. In the settings you prefer. With schedules that fit your life. Learn more at www.multicarejobs.org

Position Summary:
The Senior Payer Contract Manager is responsible for developing and implementing contracts with third party payers on behalf of MultiCare Health System and its affiliates. This role ensures MultiCare and our affiliates have consistent and well-functioning relationships with payers over time, in alignment with MultiCares vision and strategic priorities. The Manager will lead negotiations with assigned payers to include payment terms based on multiple reimbursement models, including fee-for-service payment terms, value based payment terms, and gain/risk sharing arrangements. The Manager serves as the lead managing the overall payer relationship, makes recommendations to Sr. Leadership on product participation, and will continually evaluate the payer relationship for opportunities to improve revenue, lower the cost of doing business, and to improve MultiCares access to patents. The Manager is accountable for negotiating contract language that aligns with all State and Federal laws and regulations, is consistent across payers, and does not expose MultiCare financial, legal, or operational risk to MultiCare or the payer.

Minimum Requirements:
Seven or more (7+) years of experience performing financial/medical data/payer mix analysis or contract negotiation in a healthcare environment, health system or health plan; acute care setting experience preferred
Experience with medical and pricing terminology to include but not limited to DRG, RUG, APC, RVU, Conversion Factors

Education/Licenses/Certifications:
Bachelors degree with a major in finance, Healthcare administration, or related field; or 10+ years experience in Payer Contracting for a Health System or Health Plan as degree equivalent

Categories

Posted: 2019-11-05 Expires: 2020-01-04

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Payor Contract Manager Sr

Multicare Health System
Tacoma, WA 98402

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