Hartford, Connecticut, USA
24 days ago
Senior Contracts Administrator / Managed Care Contracting
Work where every moment mattersEvery day over Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemPosition SummaryThe Senior Contracts Administrator will primarily be responsible for acting as a resource for both internal Patient Financial Services Legal Marketing and Communications etc and external Payers stakeholders regarding HHCICP contracts specific to hospital physician behavioral health and ancillary The role will act as the first line resource for contract related inquiries and escalate issues as appropriate Ensure the accuracy of commercial contracts by conducting audits of the contract build and expected reimbursement Review payer reimbursement policies for revenue impact Support ongoing payer negotiations focusing on strengthening contract terms and provisions Position ResponsibilitiesKey Areas of ResponsibilityThe Senior Contracts Administrator will primarily be responsible for acting as a resource for both internal Patient Financial Services Legal Marketing and Communications etc and external Payers stakeholders regarding contracts related to hospital physician ancillary and behavioral health services for HHCICP payersThe Senior Contracts Administrator will be the first line resource for hospital physician behavioral health and ancillary contract related inquiries escalating issues as appropriate and will assume overall accountability for ensuring resolution to issues within specified timeframes with accuracy In addition this individual will be responsible for cataloguing payer issues ensuring that they are addressed either immediately through EPIC updates working with the payer or contract amendments during renegotiationsThe individual will be responsible for timely maintenance and auditing of the Epic contract build ensuring accuracy in expected reimbursement at time of billing This individual will work closely with ICP Payer Analytics to ensure standard workflow processes are followed such as contract re evaluations payer updates policy review and any other cross team functions Strong analytical and critical thinking skills are essential in determining revenue impact related to payer reimbursement policies and contractual variances The Senior Contracts Administrator will support ongoing payer negotiations focusing on strengthening contract terms and provisionsThis individual will be responsible for developing collaborative internal relationships across the system working with Revenue Cycle Revenue Integrity and other HHC entities to provide updates and clarification on contract rate renewals and interpretation The Senior Contracts Administrator will support a variety of ad hoc requests related to commercial payersThis individual will represent ICP on designated key committees and task forces relating to provider contracting and payer relations within HHCWork where every moment mattersEvery day over Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemPosition SummaryThe Senior Contracts Administrator will primarily be responsible for acting as a resource for both internal Patient Financial Services Legal Marketing and Communications etc and external Payers stakeholders regarding HHCICP contracts specific to hospital physician behavioral health and ancillary The role will act as the first line resource for contract related inquiries and escalate issues as appropriate Ensure the accuracy of commercial contracts by conducting audits of the contract build and expected reimbursement Review payer reimbursement policies for revenue impact Support ongoing payer negotiations focusing on strengthening contract terms and provisions Position ResponsibilitiesKey Areas of ResponsibilityThe Senior Contracts Administrator will primarily be responsible for acting as a resource for both internal Patient Financial Services Legal Marketing and Communications etc and external Payers stakeholders regarding contracts related to hospital physician ancillary and behavioral health services for HHCICP payersThe Senior Contracts Administrator will be the first line resource for hospital physician behavioral health and ancillary contract related inquiries escalating issues as appropriate and will assume overall accountability for ensuring resolution to issues within specified timeframes with accuracy In addition this individual will be responsible for cataloguing payer issues ensuring that they are addressed either immediately through EPIC updates working with the payer or contract amendments during renegotiationsThe individual will be responsible for timely maintenance and auditing of the Epic contract build ensuring accuracy in expected reimbursement at time of billing This individual will work closely with ICP Payer Analytics to ensure standard workflow processes are followed such as contract re evaluations payer updates policy review and any other cross team functions Strong analytical and critical thinking skills are essential in determining revenue impact related to payer reimbursement policies and contractual variances The Senior Contracts Administrator will support ongoing payer negotiations focusing on strengthening contract terms and provisionsThis individual will be responsible for developing collaborative internal relationships across the system working with Revenue Cycle Revenue Integrity and other HHC entities to provide updates and clarification on contract rate renewals and interpretation The Senior Contracts Administrator will support a variety of ad hoc requests related to commercial payersThis individual will represent ICP on designated key committees and task forces relating to provider contracting and payer relations within HHCRequirements and Specificationsmiddot Preferred but not required a BABS in Healthcare Administration Healthcare Management Business Administration Finance or Mathematicsmiddot Minimum of years of experience in a healthcare related field with in depth knowledge ofo Payerprovider contracting particularly focusing on hospital physician behavioral health skilled nursing home health care and rehabilitation with a solid understanding of reimbursement methodologieso Contract language particularly those provisions that have financial or administrative cost impacts and o Claims adjudicationmiddot Experience in billing and coding issues is required as well as broad knowledge of healthcare finance and accounting issuesmiddot Strong interpersonal and communication skills are essential as well as demonstrated ability to work collaboratively across functional areasmiddot Critical thinkerproblem solver who is results orientedmiddot Proficient in Microsoft Excel and Outlookmiddot EPIC experience middot SQL knowledge preferredWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour momentRequirements and Specificationsmiddot Preferred but not required a BABS in Healthcare Administration Healthcare Management Business Administration Finance or Mathematicsmiddot Minimum of years of experience in a healthcare related field with in depth knowledge ofo Payerprovider contracting particularly focusing on hospital physician behavioral health skilled nursing home health care and rehabilitation with a solid understanding of reimbursement methodologieso Contract language particularly those provisions that have financial or administrative cost impacts and o Claims adjudicationmiddot Experience in billing and coding issues is required as well as broad knowledge of healthcare finance and accounting issuesmiddot Strong interpersonal and communication skills are essential as well as demonstrated ability to work collaboratively across functional areasmiddot Critical thinkerproblem solver who is results orientedmiddot Proficient in Microsoft Excel and Outlookmiddot EPIC experience middot SQL knowledge preferredWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour moment
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