Job Description
Contract Manager
Job Location
Other-Remote Office
ID
2024-11028
Status
Full Time
Shift
Day
Schedule
Mon - Fri
Hours of Work
8:00a-4:30p
Responsibilities
This position is responsible for working directly with internal and external teams, including, but not limited to Legal, Clinical, business development and Patient Accounting to draft, negotiate, assess, and manage behavioral health contracts for Hazelden Betty Ford locations through the west region. The Contract Manager position reports to the Vice President of Payer Relations and must be an experienced negotiator, a subject matter expert in payer contracting for behavioral health. The role is a self-starter, with strong communication and collaboration skills, and have the ability to effectively manage a demanding workload in the execution of multiple concurrent projects across geographic and organizational boundaries.
Responsible for contract negotiations with both current and potential partners. Evaluates key partners/plans for collaboration and value-based contracting and, through engagement with internal leaders, creates and partners with VP of Payer relations on managed care contracting strategy.
Utilizes information from Payer Reimbursement Analyst to understand and communicate financial, quality and payor datasets, modeling of contract terms and performance metrics, and other strategic factors to support successful optimization of health plan agreements.
Monitors and evaluates performance in value-based arrangements. Participates in departmental strategies to ensure success in both FFS and value-based arrangements.
Maintain effective working relationships with key personnel both internal and external to the organization such as third-party payors, internal departments, and other payer entities such as employers or tribal communities.
Identify and recommend opportunities for HBF through value-based contracts, including new and existing agreements.
Design, implement, and lead negotiation strategies for the terms and conditions in all contracting matters with direct reporting to the Vice President of Payer Relations.
Partner with members of Revenue Cycle to optimize reimbursement rates and preferred contract language.
Qualifications
Required Qualifications:
Bachelor's degree in business or related field
Minimum 5 Years' experience in the healthcare industry
Experience in behavioral health contracting, negotiating, and contract administration
Knowledge and understanding of accounting/financial implications of contracts
Knowledge of business strategy and contractual requirements sufficient to perform and in-depth evaluation of the financial and technical performance of the contract.
Knowledge of legislation, regulations, and methods used in contracting
Strong written and oral communication skills
Preferred Qualifications:
Master's degree in business, behavioral health or related field
Working knowledge: Microsoft Visio, and Adobe
Experience presenting complex models to executive leaders
Min
USD $82,734.00/Yr.
Max
USD $116,801.00/Yr.
Overview
The Hazelden Betty Ford Foundation is the largest nonprofit addiction recovery organization in the United States. It is also one of the most mission-driven places you will find. The Hazelden Betty Ford Foundation team is passionate about providing hope and ultimately healing. As a living, growing and evolving institution, the Hazelden Betty Ford Foundation is - at our core- a people-powered organization. Hazelden Betty Ford Foundation is comprised of 1600+ employees, seventeen treatment sites and produces $190 million dollars in annual revenue. This exemplary organization serves nearly 25,000 people annually and is committed to provide hope and healing for those experiencing addiction to alcohol and other drugs.
What makes this organization unique is its total ecosystem approach to prevention, education, research, advocacy and treatment. All of the parts of the organization work together to inform, develop and deliver evidence- based practices that help people reclaim their futures and restore their hope.
Being "a best place to work" is a strategic goal of Hazelden Betty Ford Foundation and it's a goal that every employee plays an active role in helping to achieve. Our culture is a reflection of how encouraged and energized we each feel about contributing our ideas and performing to our greatest ability. Join us and do meaningful work.
We deeply value our employees. Working at Hazelden Betty Ford Foundation includes a comprehensive benefits package, including:
Competitive Health, Dental and Vision Plans
Retirement savings plan with employer match
Paid time-off
Tuition reimbursement
The Hazelden Betty Ford Foundation is proud to be an equal opportunity and affirmative action employer. We believe that diversity and inclusion among our colleagues is critical to our success as a force of healing and hope for individuals, families and communities affected by addiction to alcohol and other drugs; and we seek to recruit, develop and retain the most talented people from a diverse candidate pool.
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Diverse individuals encouraged to apply.
Equal Opportunity Employer: Minorities, Women, Veterans, Disabilities
