Contracting Specialist, Managed Care

Hackensack Meridian Health Inc.; Woodbridge Township (NJ); Hybride; USD 60 477 000 - 100 777 000; Plein temps

Résumé du poste

Hackensack Meridian Health is seeking a Contracting Specialist, Managed Care to support negotiations across physician groups and related entities, addressing operational, financial and service issues while ensuring contract language aligns with established rate parameters. The role is hybrid, requiring 1-2 onsite days.

Requires a Bachelor’s in Finance or a health field and at least 3 years of hospital/physician contracting experience, with strong negotiation, analytical and communication skills.

Qualifications

• Bachelor's Degree in Finance or Health related field.
• Minimum of 3+ years of experience in Hospital, Facility, Ancillary, Physician Provider Contracting and operational experience.
• Strong knowledge of Managed Care contractual language, regulations and editing/redlining of Agreements/Amendments.
• Ability to negotiate HMH required language parameters with payers.
• Ability to work independently with minimal supervision.
• Work well under pressure, multitasker and managed to department and organizational timelines.
• Excellent analytics and problem solving skills.
• Excellent written and verbal communication skills.
• Proficient computer skills including Google Suite and/or Microsoft Office.

Responsabilités

• Supports initiatives for HMH Physicians, Physician Related Entities, Urgent Care and Facility, Pay for Performance (P4P) and Professional Behavioral Health Services during system and new entities negotiations.
• Will address operational, financial and services issues and facilitate contract implementation within key operational areas throughout the organization for assigned payers and HMH entities.
• Ensure alignment with established rate and language parameters under senior department leadership.

Connaissances

Negotiation

Analytics

Communication

Independence

Time management

Problem solving

Formation

Bachelor's Degree in Finance or Health related field

Outils

Google Suite

Microsoft Office

Description du poste

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Contracting Specialist, Managed Care supports initiatives for HMH Physicians, Physician Related Entities, Urgent Care and Facility, Pay for Performance (P4P) and Professional Behavioral Health Services during system and new entities negotiations in accordance with Hackensack Meridian Health's (HMH) established rate and language parameters under the senior department leadership direction. Will be responsible for addressing operational, financial and services issues and facilitate contract implementation within key operational areas throughout the organization for assigned payers and HMH entities.

***Minimum $35.17/hr***

***This posiion is Hybrid and would require 1-2 days per week onsite***

Education, Knowledge, Skills and Abilities Required:

• Bachelor's Degree in Finance or Health related field.
• Minimum of 3 or more years of experience in Hospital, Facility, Ancillary, Physician Provider Contracting and operational experience, including a well-rounded full and comprehensive understanding of Managed Care contractual language, regulations and editing/redlining of Agreements/Amendments.
• Ability to negotiate HMH required language parameters with payers.
• Ability to work independently with minimal supervision.
• Work well under pressure, multitasker and managed to department and organizational timelines
• Excellent analytics and problem solving skills.
• Utilize tack and sensitivity in communicating effectively with internal and external customers.
• Excellent written and verbal communication skills.
• Proficient computer skills that include but are not limited to Google Suite and/or Microsoft Office platforms.