Catholic Health Initiatives Contract Account Manager in FEDERAL WAY, Washington
Contract Account Manager
The Contract Account Manager will support the organization via a strong understanding of the Soundpath Health provider network contracting strategy related to the development, management and maintenance of market competitive provider/facility agreements. They will lead and manage negotiations and achieve favorable contract terms. They will manage the provider contracting process from service delivery planning through implementation, including ongoing monitoring and evaluation.
They will coordinate the provider contracting activities in conjunction with strategic goals, business and marketing plans. Develops and manages contractual relationships with providers. Additionally they will partner with Provider Relations to ensure contract and program compliance from network providers.
Duties and Responsibilities
With Oversight from the Director of Network Management/Provider Relations, acts as the lead negotiator for assigned groups (i.e. proposal development and execution) in the Soundpath Health service area (facilities, multi-specialty groups, ancillary, professional services, etc.)
Authors the contract document and ensures the complete and appropriate Soundpath Health implementation of contractual arrangements, in accordance with payment policies and business system requirements
Advanced working knowledge of various reimbursement methodologies, including value based arrangements, advanced payment methodologies, quality improvement and risk arrangements
Strong analytical skills related to medial expense and utilization; working knowledge and impacts of RAF and MLR
At least 5 years of healthcare experience with at least 3 years healthcare/medical/insurance contract negotiations experience
Knowledge of contract language, legal terminology, reimbursement methodologies (i.e. FFS, Per Case/Per Diem, DRGs, Capitation, Value Based Arrangements, P4P, APMs, RAF, MLR, etc.), local rate structures, health care terminology and managed care practices
Knowledge of continuous process improvement techniques and P&P development
Understanding of CMS regulatory requirements, including reporting requirements, application processes, and HSD tables
Proficient in Microsoft Office applications
Must have exceptional communication skills and the ability to write clearly and concisely and be proficient in public speaking
Must be highly organized, self-motivated with strong time management skills and ability to handle multiple tasks simultaneously
Experience with PIMS and QNXT software preferred,but not required
Primary Location WASHINGTON-FEDERAL WAY-SOUNDPATH HEALTH
Daily Schedule Days
Scheduled Hours per 2-week Pay Period 80
Weekends Required None
Req ID: 2018-R0163538
We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.