discovery hospital

Coordinator, Payer Relations & Contracting (FT 100%) - Managed Care

Job Description

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 Job Title: Coordinator, Payer Relations & Contracting (FT 100%) - Managed Care
 Company Name: Adena Health System
 Employment Type: Full Time
 Location: CHILLICOTHE, OH, United States
 Department: Managed Care
 Salary: Highly Competitive
 Shift Hours/ Days: Days
 Shift Details: Salaried Position, extra hours may be needed to complete projects
 Hours/Pay Period: 80
 Degree Required: Bachelor's (Any)
 Job ID: 98.90100-01340
 Date Posted: Jul 1, 2013
 Years Experience: 5
 Note:  Please read the complete description below before applying for this job.
  Complete Description

This position is responsible for negotiating contracts with small to mid-tier third party commercial payers, provider networks, and ancillary networks that reimburse Adena Health System for medical services provided to their members/clients.  Under the supervision of the Director, contracting activities may include hospital inpatient/outpatient, physician and ancillary providers within the health system.  Maximizes returns by reviewing existing contract terms and conditions; analyzing alternative opportunities; evaluating results of current contract terms and forecasting changes to market that may impact future results; recommending strategies for negotiating changes on terms and conditions for existing contracts as well as strategies for successfully negotiating new contracts with third party payers.  This position manages the preparation, analysis, review, and projection of the financial impact of third party payer contracts and terms.  Remains current on industry trends and regulatory changes and in collaboration with others in Finance assesses the overall impact of these changes to the health system.  Maintains successful working relationships and collaborates with a variety of internal departments such as Legal,  Finance, Revenue Cycle, Billing, hospital departments, physician practices, ancillary provider and any other departments that are involved with or impacted by payer contracts.  Develops relationships with third party payers and seeks knowledge of the payer's programs and plans.  Coordinates the communication between assigned payers and the rest of the health system by conducting regular Joint Operations Committee meetings, distributing and summarizing payer information and new program offerings.

Education:  Bachelor's Degree in Health Care Administration, Business, Communications or related field.

Experience:  Five or more years experience with payer/vendor relations; emphasis on analytical skills. Expertise in MS Excel.

Adena Health System is an equal opportunity employer. We consider applicants for all positions without regard to race, color, religion, national origin, age, veteran status, the presence of a non-job related medical condition or disability or any other legally protected status