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Contract Specialist, Texas

Company: Dignity Health
Location: Bryan
Posted on: November 4, 2019

Job Description:

Responsibilities: Job Summary: The Contract Specialist, Divisional Payers, Payer Strategy & Relationships (PSR) works closely with Divisional Payers, the Payer Relations Manager, Divisional Directors, National PSR team, and the PSR Analytics & Innovation team, to support the negotiation of terms and conditions for Managed Care payer contracts for facility, professional, and ancillary entities. Primary focus of contracting and negotiation support is to ensure the terms and conditions of the payer contract adhere to the CSH Standards and Guidelines, represent industry best practices for Fee for Service and value-based arrangements, and align with operational objectives. Job Responsibilities: Review contract proposals, language and rate sheets to ensure accuracy, completeness and in compliance with CommonSpirit Health standards and guidelines. Recommend corrections, changes and any language opportunities in documents to Director. Assist Director with updating project plan documents, meeting minutes and action item follow up related to Divisional Payers renewals and planning. Ensure that all amendments, letters of agreement (LOA), memorandum of understanding (MOU) and other contract documents are signed by the appropriate parties and provide the fully executed contract documents to the Contract Administration team. Coordinate with Division PSR teams as needed to facilitate credentialing and re-credentialing of CSH entities. Maintains complete and up to date inventory of all CSH hospitals/specialty hospitals to include demographic information, license, NPI, Tax ID information, etc. Assist in communicating and operationalizing contract terms, amendments, and policy terms. Maintain Divisional Payer knowledge base to include financial statements/reports, news articles and other information. Adhere to all established contracting guidelines. Contracting accountability for negotiation support include hospital, physician, and ancillary services. Qualifications Minimum Qualifications: Education -A High school diploma required.A Bacheloras Degree in related discipline or equivalent work experience. Experience -A One (1) to two (2) years negotiation, sales or experience in a healthcare related field is required.A Three (3) to five (5) years experience preferred. Skills, Knowledge and Abilities -A This position requires knowledge and experience in reimbursement, the financial aspects of contracting and managed care operations. Additionally, effective negotiation skills, project management skills, excellent written and verbal communication skills and expertise and experience with PC applications (Excel/Word) are required.

Keywords: Dignity Health, Bryan , Contract Specialist, Texas, Other , Bryan, Texas

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