Department:

13212 Enterprise Corporate - Managed Health Clinical insights & Operations: Contract Management

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Weekdays

Pay Range

$68.20 - $102.30

Job Summary

Maintains Atrium Healths managed care portfolio performance. Ensures appropriate planning and execution of each negotiation, to ensure appropriate contract rates and language are negotiated within established deadlines with yields that meet or exceed budget. Ensures Atrium Health maintains payor pricing parity and develops contracting strategy for the system, and ensures implementation of strategy through contracting activities.

Essential Functions

Participates actively in system-wide major payor negotiation and participates in other negotiations on an as-needed basis. Ensures appropriate contracting planning is completed and presented to Managed Health, including annual Atrium Health Contracting Plan and individual negotiation plans. Develops and maintains relationships with contracted Payors. Maintains current working knowledge of all System contracts. Evaluate, recommend and oversee implementation of an on-line contract document management system. Provides System with accurate and current managed care market intelligence by maintaining a working understanding of local, regional, and national trends. Conducts competitive market assessments, changes and impact of regulatory environment, changes and impact of payor initiatives and provide other information to support Managed Health reporting initiatives. Communicates actively in Atrium Health managed care initiatives and results to appropriate audiences. Serve as Managed Health lead for Physicians Services Contracting Committee. Develops and maintains cooperative internal working relationships to effectively evaluate and assess overall impact of contracting initiatives. Proactively work with Managed Health Contract Compliance to understand operational issues and the impact on contracting. Proactively work with Managed Health Performance Management to report and refine reporting of contract performance, analysis and modeling tools.

Physical Requirements

Performs most work under normal office conditions. Work may include sitting for long periods of time, standing, walking, using repetitive wrist/arm motion or lifting articles up to 25 pounds.

Education, Experience and Certifications

Bachelor's Degree required, Advanced degree, MBA or MHA preferred. Seven years provider experience as a contract negotiator required; willing to consider ten years combined provider and/or payor experience as a contract negotiator. Proven track record of closing negotiations on time and at or exceeding budget expectations. Must have closed negotiations for a major payor/major system required.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or trainingPremium pay such as shift, on call, and more based on a teammate's jobIncentive pay for select positionsOpportunity for annual increases based on performance

Benefits and more

Paid Time Off programsHealth and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term DisabilityFlexible Spending Accounts for eligible health care and dependent care expensesFamily benefits such as adoption assistance and paid parental leaveDefined contribution retirement plans with employer match and other financial wellness programsEducational Assistance Program

About Advocate Health 

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.