Senior Contracting Manager

AON Central Services, LLC; United States; Remote; USD 57,000 - 108,000; Full time

Job summary

A leading company is seeking a Senior Contracting Manager to enhance their managed care contracting function. This remote role involves contract negotiation, analysis, and maintenance, providing an opportunity to work collaboratively with healthcare providers to optimize care delivery and reimbursement strategies. The position requires strong analytical, communication, and negotiation skills along with a Bachelor's degree and substantial contracting experience.

Benefits

Comprehensive health insurance

401k plan with 100% match

Paid Time Off (PTO)

Tuition assistance

Qualifications

• Bachelor's degree from accredited college/university or equivalent experience preferred.
• 5 years cumulative experience in healthcare managed care contracting.
• Strong analytical ability to solve complex problems.

Responsibilities

• Responsible for contract administration and negotiation.
• Analyze contract proposals and develop managed care strategies.
• Prepare various reports to track financial performance of contracts.

Skills

Analytical Ability

Negotiation

Communication

Education

Bachelor's degree

Tools

MS Excel

MS Office

Job description

Senior Contracting Manager page is loaded

Senior Contracting Manager

Apply locations US- Work From Home time type Full time posted on Posted 2 Days Ago job requisition id JR4949

Location:

Remote Position

Pay Range:

$57,699.20 - $107,140.80

Position Summary:

Under the oversight of the Director of Contracting & Credentialing, responsible for a wide variety of duties related to the development, implementation, and ongoing management of the company’s managed care contracting function. Primary responsibilities include contract administration, review and analysis of contract proposals, development of managed care strategies, and a liaison role to both external and internal customers and other special projects.

Key Performance Areas:

KPA1–Contract Negotiation & Renegotiation

Job duties included but not limited to:

• Assist in the strategic development and implementation of Managed Care and Payer Contracts on a national, regional, and local level

• Negotiate and renegotiate managed care and payer contracts consistent with contracting goals

• Development of business decision support materials and proposals

• Review and analysis of contract language and reimbursement terms in existing and potential managed care agreements

• Cultivate relationships and maintain communications with health plans and payors

• Assist with the investigation and evaluation of payer markets in different states (payer mix, reimbursement issues, and state regulatory statutes)

• Oversee transitions-prepare payer target list, manage weekly oversight, prepare payer status updates for all internal departments.

• Work with complex payer affiliations such as PHO’s, CIN’s and IPA’s.

KPA 2–Contract Maintenance

Job duties included but not limited to:

• Prepare various reports to track and monitor financial performance of contracts

• Prepare reports to review, assess and analyze utilization trends and overall performance of group contracts

• Assist to maintain and organize the managed care contracting database and/or document folders

• Conduct annual review of each contract to identify opportunities for improved or additionalservice(e.g. Radiology, Pathology, Urology, etc.)reimbursement

• Development and ownership of financial models to support contracting decisions, including modeling and analysis of innovative contracts

KPA 3–Contract Implementation

Job dutiesincluded but not limited to:

• Perform contract audits prior to signature process

• Disseminate contract rates and information to designated individuals for adherence to contract terms and definitions

• Gather and disseminate information for the Payer Matrix which outlines key contract terms, data elements, and other pertinent information needed to properly set up insurance plans and patient accounts

• Coordinates staff communication of contractual requirements, updates on policy and operational changes and other contract-related information to various departments within the organization

KPA 4–Payer Issues

Job duties included but not limited to:

• Address underpayment issues with payer representatives until resolvedor escalated to Senior Manager

• Work with Directorand/or Assistant Directorof Revenue Cycle,and Director of Contracting and Credentialing on payer issues

• Trackpayer issuesand impacts to use for support in future negotiations.

Position Qualifications/Requirements

1. Education :

• Bachelor's degree from four-yearcollegeor university; orequivalentrelatedexperience preferred.

2. Previous Experience :

• 5 yearscumulativeexperience in healthcare managed care contracting working on either the provider or payer sides of health carepreferred.In-depth knowledge of the healthcare industry including billing and claims, medical coding, payer/provider relations, contracting processes, fee schedules and reimbursement methodologiesrequired.

3. Core Capabilities :

• Work requires a professional level of knowledge in health insurance or health care administration.

• Work requires essential knowledge of managed care concepts, an understanding of the breadth of clinical services provided and the ability to effectively communicate (oral and written) at a highly professional level.

• Work requires strong analytical ability to solve complex problems

• Must possess advanced interpersonal skills to effectively interface with all levels of management and staff as well as external business-related associates

• Work requires teamwork and the ability to work well with all levels of the business

• Must demonstrate the ability to provide leadership and effectively communicate (both oral and written) to all levels of management and staff.

• Must be proficient in creating and utilizing MS Excel spreadsheets and all other MS Office programs

4. Certifications/Licenses :Valid driver’s license in the state of residence is required.

5. Travel :Required for meetings and as needed to meet with payers.

6. Standard Work Days/Hours :M-F; Day

About Us

American Oncology Network

AON is an alliance of physicians and veteran healthcare leaders dedicated to ensuring the long-term success and viability of oncology diagnosis and treatment in community-based settings. It is the fastest growing national network of community oncology practices delivering local access to exceptional cancer care.

AON serves its expanding network of partner practices by providing proven practice management expertise. Our employees across the country work together to empower physicians to make cancer care better. By driving integrated, collaborative care, we are proudly helping community oncologists deliver the highest quality care to every patient.

Cancer touches everyone. Being able to make a difference in the lives of those fighting this disease is something our employees at AON cherish and never take for granted. A career in oncology offers all sorts of rewards. But working at AON offers employees more than most.

• As a fast-growing national company, the opportunity to join a national workforce with flexible work options is available. We offer competitive compensation packages that include comprehensive health insurance with a robust provider network. Our 401k, which offers a 100% match and investment options, is available to full-time and part-time staff members, and we feature a generous Paid Time Off (PTO) program.
• At AON, we offer you more than a job, we offer you a career. As a network of independent oncology practices working together as one, we host annual summits each year, providing our employees a chance to collaborate with AON peers from across the country. Promoting from within is a priority at AON, and we support our team members continued growth through professional development programs and tuition assistance.