Contract Manager

OOCORP OneOncology LLC; United States; Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Remote work

Travel flexibility

Job summary

OneOncology is seeking a Contract Manager to oversee contract life cycle and performance for physician practices. The role includes negotiations, strategy development, and ensuring compliance, with remote work and travel as needed.

The position reports to the Sr. Manager, Contract Management and supports payer-related initiatives, fee schedules, and documentation accuracy across practices and payers.

Qualifications

• Bachelor's degree in business, finance, healthcare administration or related field.
• Master's degree preferred but not required.
• Minimum 5 years experience contracting with hospitals/physician practices.
• Knowledge of healthcare regulatory requirements.
• Experience negotiating physician and payer contracts.
• Willingness to travel as needed.

Responsibilities

• Analyze performance and evaluate existing payer contracts in assigned practices.
• Develop payer strategies and business goals with leadership for assigned markets.
• Ensure contractual arrangements meet financial targets and regulatory requirements.
• Lead payer negotiations including managing templates and approvals.
• Coordinate analytic requirements and other projects impacted by contract negotiations.
• Be accountable for payer-related issues and provide timely support to practices.
• Ensure accuracy of contract documentation and annual fee schedule reviews.
• Provide training on payer-related subjects to practice stakeholders.
• Maintain productive relationships between operations, partner practices and payers.
• Function effectively in a matrix environment with multiple demands.
• Maintain focus on client satisfaction through internal and external communication.

Skills

Negotiation

Communication skills

Financial analysis

Regulatory compliance

Relationship building

Project coordination

Education

Bachelor's degree in business/finance/healthcare administration

Master's degree (preferred)

Tools

Contract management software

Job description

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology's mission and vision.

Why join us?

This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.

Job Description:

The Contract Manager will report to OneOncology's Sr. Manager, Contract Management. This role will be accountable for contract life cycle /performance of assigned physician practices, including negotiations and strategy development. The contract lifecycle will include negotiations and strategy development, maintenance, and contributing to value-based care development. This position does not typically have any direct or indirect employees to manage. This is a remote position that does require some travel and proximity to a major airport.

Responsibilities

• Assists in detailed analysis of performance, and provide evaluation, on existing payer contracts in assigned practices.
• Actively participates in developing payer strategies and business goals with the leadership team for assigned practices/markets.
• Assures contractual arrangements meet financial targets and legal/regulatory compliance requirements.
• Leads payer negotiations including managing template versions, review/approval process and multiple concurrent negotiations.
• Works with internal team members to coordinate analytic requirements and other projects impacted by contract negotiations/revenue.
• Accountable for all payer related issues and ensuring practices have timely support as needed.
• Responsible for the accuracy of supporting documentation for contracts and completing documents accurately.
• Ensures contractual language is kept current; evaluate fee schedule on a yearly basis to identify opportunities for additional covered services, medical policy changes and reimbursement.
• Provides training and education to practice stakeholders as needed on any payer related subject.
• Ensures practices have access to and properly utilizes all payer tools.
• Creates and maintains productive and professional relationships between operations, partner practices and payers.
• Ability to work in a matrix environment where multiple and competing customer demands are likely.
• Focuses on client satisfaction though internal and external communication.

Key Competencies

• Excellent written and verbal communication skills.
• Strong negotiation skills.
• In depth knowledge of Medicare, Medicaid, and commercial insurance.
• Demonstrates proficiency with financial reports and modeling.
• Ability to utilize contract management software tools.
• Conflict resolution skills and strong relationship building skills.
• Strong attention to detail.
• Innovative problem solving and strong critical thinking skills.
• Ability to manage multiple complex projects at the same time.

Qualifications

• Bachelor's degree required in business, finance, healthcare administration or other relevant fields of study.
• Master's degree preferred but not required.
• Minimum 5 years relevant experience working with hospital, clinic, physician practice or healthcare system contracting.
• Demonstrated knowledge and understanding of the legal and regulatory requirements in the healthcare industry.
• Current industry experience negotiating physician contracts required.
• Current or previous payer contracting experience preferred but not required.
• Travel flexibility as needed.

#LI-LK1 #LI-REMOTE

OneOncology was founded by community physicians, for community physicians, with the mission of improving the lives of everyone living with cancer and other diseases. Our goal is to enable community medical practices to remain independent and to improve patient access to care in their communities, all at a lower cost than in the hospital setting. OneOncology supports our platform of community medical practices through group purchasing, operational optimization, practice growth, and clinical innovation. Our partner practices comprise approximately 2,300+ providers who care for approximately 1.5 million patients across 20 states.