Payer Contracting Manager
Intermountain Healthcare - Salt Lake City, UT

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This position is responsible for the effective management of contractual associations with payers. The manager is the liaison between Intermountain Healthcare and the payer and works to establish genuine, sincere and long-term business relationships with payers. The manager is the strategic lead on the account and must continually assess and evaluate the association and suggest opportunities to refine and improve the relationship. The manager must ensure that contract language that is agreed to is consistent with what other payers have been offered and that it does not pose significant financial, legal, administrative or political risk for Intermountain Healthcare.

Job Essentials:
Establishes and Maintains effective long-term Payer Associations

Manages Contractual Associations: Ensures that all contracts are properly drafted and executed and that terms and conditions are fair and consistent with other payers

System Coordination and Networking: Coordinates with all impacted areas of the Intermountain Healthcare system to advise affected divisions regarding the impacts of payer contracts

Contract / System Expertise: Possesses a working knowledge of the contracting process between Intermountain and payers

Strategic Vision: Performs strategically assessment of the healthcare market; Identifies risks and opportunities for Intermountain and makes strategic proposals to further Intermountain’s strategic standing in the market

Creates effective contract language and other documents by concisely and effectively communicating in written and verbal mediums to various large and small committees and groups, internally and externally; Synthesizes complex topics and summarizes them into concise presentations without compromising material details

Minimum Requirements

Bachelor’s Degree; Intermountain verifies both degree attainment and educational institution accreditation following an offer of employment.

Seven or more years professional experience in a role requiring extensive writing, analysis, contract management, customer service project management, negotiation and making presentations

Five or more years experience in a role requiring management of projects and accountabilities from inception to conclusion in an effective and comprehensive manner that appropriately evaluates implications and results in solid solutions, securing beneficial results that add value and contribute to strategic direction

Two or more years experience in the health care industry or health insurance industry

Experience using word processing, spreadsheet, database, internet and e-mail and scheduling applications

Experience in a professional role requiring effective verbal communication to present advanced topics in a clear, concise, polished and professional manner

Ability and willingness to travel to conduct negotiations, investigate opportunities and further associations with contracted payers

Physical Requirements

Seeing, speaking, hearing / listening, manual dexterity

Preferred Qualifications

Experience in corporate/legal setting

Experience using medical terminology

Health Insurance Association of America (HIAA) I & II Certification

Please Note
All positions subject to close without notice
Intermountain Healthcare is an equal opportunity employer M/F/D/V

Intermountain Healthcare - 2 years ago - save job
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Intermountain Healthcare is an internationally recognized system of 22 hospitals and a full range of medical services, multi-specialty...