Payer Contracting Manager
Job Number 134600
Description
This position is responsible for the effective management of contractual associations with payers. The manager is the liaison between Intermountain Healthcare and the payer and works to establish genuine, sincere and long-term business relationships with payers. The manager is the strategic lead on the account and must continually assess and evaluate the association and suggest opportunities to refine and improve the relationship. The manager must ensure that contract language that is agreed to is consistent with what other payers have been offered and that it does not pose significant financial, legal, administrative or political risk for Intermountain Healthcare.
Job Essentials:
Establishes and Maintains effective long-term Payer Associations
Manages Contractual Associations: Ensures that all contracts are properly drafted and executed and that terms and conditions are fair and consistent with other payers
System Coordination and Networking: Coordinates with all impacted areas of the Intermountain Healthcare system to advise affected divisions regarding the impacts of payer contracts
Contract / System Expertise: Possesses a working knowledge of the contracting process between Intermountain and payers
Strategic Vision: Performs strategically assessment of the healthcare market; Identifies risks and opportunities for Intermountain and makes strategic proposals to further Intermountain’s strategic standing in the market
Creates effective contract language and other documents by concisely and effectively communicating in written and verbal mediums to various large and small committees and groups, internally and externally; Synthesizes complex topics and summarizes them into concise presentations without compromising material details
Minimum Requirements
Bachelor’s Degree; Intermountain verifies both degree attainment and educational institution accreditation following an offer of employment.
Seven or more years professional experience in a role requiring extensive writing, analysis, contract management, customer service project management, negotiation and making presentations
Five or more years experience in a role requiring management of projects and accountabilities from inception to conclusion in an effective and comprehensive manner that appropriately evaluates implications and results in solid solutions, securing beneficial results that add value and contribute to strategic direction
Two or more years experience in the health care industry or health insurance industry
Experience using word processing, spreadsheet, database, internet and e-mail and scheduling applications
Experience in a professional role requiring effective verbal communication to present advanced topics in a clear, concise, polished and professional manner
Ability and willingness to travel to conduct negotiations, investigate opportunities and further associations with contracted payers
Physical Requirements
Seeing, speaking, hearing / listening, manual dexterity
Preferred Qualifications
Experience in corporate/legal setting
Experience using medical terminology
Health Insurance Association of America (HIAA) I & II Certification
Please Note
All positions subject to close without notice
Intermountain Healthcare is an equal opportunity employer M/F/D/V
Additional Details
Job Type: Full Time
Location: Salt Lake City, UT, US