[Hiring] Contract Manager @OneOncology

Role 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
• 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 provides 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; evaluates 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 through 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.