Why is Cascade Health the right fit for you?

We’re a busy, growing nonprofit healthcare organization that is uniquely local and independent! Our compelling mission is to meet the unmet health needs of our neighbors and to make life better for those we have the privilege to serve. For these reasons, community is tightly woven into the fabric of Cascade Health.

Recognized by Oregon Business in the 100 Best Nonprofits to Work for in Oregon Hall of Fame, we are grateful for a quality reputation built on over 60 years of service. Cascade Health offers competitive wages, a supportive workplace culture, and a dedicated group of highly skilled professionals.

Cascade Health is hiring a full-time Contract & Credentialing Manager to Lead, negotiate, and manage contracting activities with commercial and public insurance entities. Oversee provider contracting activities to ensure efficiency and maintain compliance with policies and standards, government laws, and regulations. Initiate negotiations, implementation and ongoing monitoring of the organization and provider’s contractual agreements to maximize business relationships and opportunities. Audit EMRs to verify insurances are following contracts. Responsible for all aspects of credentialing and re-credentialing of health care professionals. Ensure all health care professionals are appropriately credentialed which includes the responsibility of maintaining current information on file with our contracted entities and CAQH.



Education & Licensure:Bachelor’s degree in business, healthcare administration, finance, or equivalent combination of education and experience is required.



Minimum Qualifications & Experience:Minimum of two years’ experience related to health care insurance contracting and payment required. Knowledge of different forms of reimbursement including, but not limited to RBRVS, Medicare-based reimbursement methodologies, Medicaid reimbursement, alternative payment methodologies, value-based incentive models and other risk-based agreement arrangements and their ramifications on providers.



Essential Job Functions:

· Use strong data management skills, along with spreadsheet development, formula writing and strong command of mathematics and mathematical formulas.

· Develop and execute strategy.

· Demonstrate strong understanding of medical coding (CPT, DRG, HCPC, ICD-10).

· Oversee contract configuration to ensure accurate claims adjudication and facilitate the organization’s achieving revenue goals and targets.

· Monitor and maintain payment rates by payer for codes currently billed.

· Ensure compliance with national contracting standards, reimbursement standards, provider set-up rules, exception process and use of model contract language.

· Perform financial analyses of business units to identify medical cost improvement opportunities and develop and execute contracting action plans to achieve results.

· Express a thorough understanding of Cascade Health’s products and services.

· Develop strategic work relationships.

· Provide department managers with tools, information and resources to project revenue, contractual deductions to achieve financial targets.

· Function independently, multi-task, prioritize workload effectively, and manage time efficiently.

· Use sound judgment, appropriate decision-making, resourcefulness, and an aptitude toward solving problems.

· Organize work tasks, assuring confidentiality and a quality work product, with attention to detail.

· Demonstrate a commitment to adaptability and continuous improvement.

· Build trust with internal and external customers.

· Maintain accurate rosters of current providers within each of our facilities.

· Work with other teams to keep a current list of contracted entities and plans associated within.

· Maintain licensing, credentials, and insurance records.

· Subscribe to all Government updates related to the specialties within Cascade Health.

· Develop and update policies and procedures related to responsibilities.

· Audit payments received to ensure contract compliance.

How to Apply
Please complete our Employment Application below. You may be asked to verify your email address. Once it is submitted, you will receive a copy via email.

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For more information about Cascade Health and our application process, visit our website at [website] Please consider this opportunity to add your strengths and talents to our team!

Job Type: Full-time

Pay: $34.73 - $52.09 per hour

Expected hours: 40 per week

Benefits:

401(k)

401(k) matching

Dental insurance

Employee assistance program

Flexible spending account

Health insurance

Life insurance

Paid time off

Vision insurance
Schedule:

8 hour shift

Day shift

Monday to Friday



Education:

Bachelor's (Required)

Experience:

Insurance verification: 2 years Location: In person

Collette is seeking a Contract Manager to join our Product Team. This is a hybrid role based at our headquarters in Pawtucket, RI.

About Collette: Let Us Show You the World

There has never been a better time to be in the travel industry. See the world, connect with others, and experience the immersive benefits of one of the trendiest industries when you join the Collette team! As the longest-running tour operator in North America, our family-owned business leads the industry in innovation and expertise. Collette s passionate team works hard to fulfill travel dreams and is always looking for talent that will help to shape the company s future. Being part of the Collette team means having a willingness to grow, a desire to learn and ask questions, and a zest for seeing the world. From giving back to local communities to creating incredible experiences for a world of travelers and being part of a value-oriented team that cares for one another Collette is all about the people. So, what are you waiting for? Your journey starts here.

Contract Manager

The Contract Manager role is on the Product Development team. This position is responsible for contract negotiations with vendors directly and/or with the Global Contracting team to ensure rate, quality, pricing goals and deadlines are met.

Responsibilities:

Complete ownership of the add date process once requested by Inventory, including space requests, building tour components in operations system, rate and terms negotiation, and getting signed contracts.

Negotiate secondary contracts with new and existing vendors as needed where we do not currently have valid contracts.

Assist in contracting for open territories and assist Global Contracting Managers with attraction contracts for tour series as needed.

Review and audit all Global Contracting Manager agreements for accuracy, adherence to brand standards and acceptable terms and conditions before building in contract system and loading into shared files.

Work with new Global Contracting Managers as the go-to-person on contracting questions and assist with contracting their territory until they have become established.

Review contracts to identify trends and statistics as well as create reporting regarding rates, increases/decreases by region, materialization, and vendor es as well as research rate expectations by region.

Work with Contracting team to ensure our contracting goals are being met. Create and analyze data, identify trends and any other projects related to negotiations and contracting as assigned.

Assist in destination and competitive research as requested.

Collaborate with the Product Development team to resolve issues and make changes.

Responsible for completing special projects throughout the year as assigned.

Job Requirements:

Bachelor s Degree

Strong analytical and organizational skills

Attentive to details and regulations

Excellent communication skills both oral and written

Strong negotiation skills

Must be able to travel approximately 30 days per year both domestically and internationally

Attend Corporate Events as requested

Able to maintain vendor relationships and work well with other team members

Job Type: Full-time

Pay: From $58,000.00 per year

Benefits:

401(k) matching

Dental insurance

Employee assistance program

Employee discount

Flexible spending account

Health insurance

Life insurance

Paid time off

Parental leave

Vision insurance
Schedule:

8 hour Location: Hybrid remote in Pawtucket, RI 02860

Company Description

We are a parent company owning six different franchises.

Role Description

This is a full-time on-site role for a Contract Manager/Paralegal located in the Detroit Metropolitan Area. The Contract Manager/Paralegal will be responsible for drafting, reviewing, and negotiating contracts for the company. The role requires the ability to work collaboratively with various departments to ensure that contract management supports business objectives. In addition, you will be responsible for handling other legal-related matters such as preparing legal documents and providing legal advice on corporate matters.

Qualifications

Bachelor's degree in Business, Law, Paralegal Studies, or related field; or demonstrated equivalent experience.

Minimum of 3 years of experience in contract management or paralegal work.

Strong legal research and writing skills.

Strong attention to detail, strong organizational skills, and the ability to manage and prioritize multiple projects to meet deadlines.

Excellent written and verbal communication skills and ability to collaborate across various departments and levels of seniority.

Strong analytical and problem-solving skills.

Must have Franchise experience.

Possession of Paralegal Certification is a plus.

Job Type: Full-time

Pay: $25.75 - $31.01 per hour

Benefits:

401(k)

Dental insurance

Health insurance

Paid time off

Vision insurance
Schedule:

Monday to Friday



Ability to commute/relocate:

Livonia, MI: Reliably commute or planning to relocate before starting work (Required)

Experience:

Microsoft Office: 1 year Location: In person

Minnesota Coaches, Inc is family owned and operated for over 60 years, and one of the largest school bus and motorcoach operations in the area.

The Routing and Contract Manager is responsible for establishing, negotiating, and managing charter and private school contracts. Accountabilities include oversite in establishing the most efficient routes between schools, communicating changes and route assignments, customer billing, and maintaining ongoing communication to address any service issues that arise. This role will seek new business that fits the scheme of Minnesota Coaches network and handle correspondence with new customers. Additional responsibilities include maintaining data bases, routing programs, and applications.

Position, in further detail:

Responsible for establishing, negotiating, and managing charter and private school contracts (establishing contract language, times, and rates, and billing the customer).

Responsible for Accounts Receivable by ensuring that the customer is paying timely.

Maintain communications/problem-solving when there are any service issues. Coordinating and maintaining school calendars and cancelations due to weather.

Seek out new business that fits in the scheme of our network and respond to inquiries from potential new customers.

Responsible for maintaining the Versatrans data base and routing program, onscreen and the MyStop parent app. Maintain and updating the map, and the establishment of best practices and safe bus stops. Work with IT on the versatrans server and users. Training staff on the use of these programs.

Maintain the OnScreen data base, vehicle assignment and tracking, security, and train staff on the use of this software. Monitor staff compliance and input of daily overrides.

Responsible for establishing the most efficient routes and pairing between schools. Communicate with the terminals on daily changes and route assignments.

Respond to schools change requests, responsible for routing for designated schools and oversee additional routing staff.

Monitor driver status in versatrans and license/DOT compliance and communicate questions and issues with terminal staff.

Maintain a relationship with Zonar and GPS assignment & billing audit, and updating/replacing equipment as needed,

Monitor Zonar compliance with driver card assignment, monitor pre-trip inspections and operations.

Maintain a relationship with Mobile Radio, assignment & billing audit. Maintain the KenCall software/data base and train staff on its use.

Qualifications:

Minimum 5 years related, or Operations Management experience required.

Bachelor s degree in related field is preferred.

Experience using Versatrans, OnScreen, and KenCall software as well as the MyStop parent app is preferred.

Essential Knowledge and Skills:

Must be able to communicate professionally with people. This includes possessing clear and understandable verbal skills, as well as the ability to understand and carry out written and oral instructions.

Understand rules, regulations, procedures, and laws as they relate to the operation of passenger vehicles, particularly school buses.

Must be able to read and interpret schedules and forms as well as read and use a map.

Must have writing and arithmetic skills to accurately complete required forms and reports.

Salary is based on related experience. Annual employer profit sharing contributions, great atmosphere, and many benefits are available to this position. Submit your application for consideration today to join our team!

Time off benefits include Vacation, Holiday, Sick, Parental Leave, and Professional development.

Full Benefits available include those listed above as well as Long-term and Short-term Disability.

Job Type: Full-time

Pay: From $90,000.00 per year

Benefits:

401(k)

Dental insurance

Employee assistance program

Flexible schedule

Flexible spending account

Health insurance

Health savings account

Life insurance

Parental leave

Professional development assistance

Retirement plan
Schedule:

10 hour Location: One location

We are hiring Contract Managerfor one of our clients in Trenton, NJ.

Job Description:

Lead for Contract Management activities supporting Project Managers

Accountable for the production and maintenance of Contract Management Procedures and standards

Accountability for KPI's and supplier performance

Support monthly Procurement and Contract Management reports

Ensure contracts are prepared and administered

Compliance with all company policies, procedures, and standards

Manage key supplier and contractor relationships.

Skills Required:

SAGE/Microsoft Office and Outlook

Grant management, preferably experience with public entities

Familiarity with administrative processing of grants

Process grant paperwork

Work hours:

9 AM To 5 PM

Lunch: 1 Hour (Unpaid)

About Us:

We are specialized in recruiting and deliver the best professional talent of industry and we are committed to deliver best experience for our clients and job seekers. With over two decades of experience in the recruitment industry, we proudly help you to find the next job that matches your professional skills. Our team understands your needs or requirement before starting the recruitment, that enables to find the high quality of talent with high success rate of talent delivery, keeps us continue to be the best in the industry.

Job Type: Contract

Pay: $31.00 per hour

Benefits:

401(k)

Dental insurance

Health insurance

Vision insurance
Schedule:

Monday to Location: In person

Looking for a new, exciting and phenomenal career? Phenom, LLC, a WOSB Management Consulting company is looking for YOU! Come be phenomenal with us!

We are looking to hire a 2 Contract Managers for a federal government client. **Position is contingent upon contract award**

Responsibilities will include but not limited to:

Responsible for the entire contract lifecycle.

Responsible for the execution of a wide variety of transactions pertaining to contracts.

Ensures contracts meet legal requirements.

Establish and maintain relationships with the Government Contracting Officer and other key government personnel.

Maintain records for correspondence and documentation in relation to contracts.

Solve any contract-related problems that may arise with other parties and internally with the company.

Responsible for ensuring performance complies with all deliverables such as timelines, deadlines, and goals.

Responsible for ensuring performance complies with all specifications and requirements of the contract, including the contract’s clauses.

Ensure staff qualifications remain current and valid including Department of Defense Contractor Personnel Office processes/approvals throughout contract performance.

Inventory and track maintenance of all Government Provided Equipment and Materials.

Identify, investigate, and correct any non-conforming performance and prevent similar deficiencies.

Education:

A Bachelor's degree in Business Management is required.

Qualifications:

Minimum of 5 years of experience as a Contract Manager, required.

GFEBS experience is Highly desirable.

MS Office.

Certification/License:

PMP Certification

Additional Information:

Staffing agency applications/applicants will not be accepted .

US Citizenship, required.

A Letter of Intent (LOI) may be required.

NDA must be signed.

Background check, required.

Skills test may be required.

Requisition ID 1008

Job Types: Full-time, Contract

Benefits:

401(k)

Dental insurance

Health insurance

Paid time off

Vision insurance
Schedule:

8 hour shift

Monday to Friday



Application Question(s):

What are your minimum salary requirements?

Education:

Bachelor's (Required)

Experience:

Contract management: 5 years (Required)

Microsoft Office: 5 years (Preferred)

GFEBS: 5 years (Required)

Ability to Relocate:

Fort Stewart, GA: Relocate before starting work Location: In person

Contract Manager

Summary:

Join Riggs Distler & Company, Inc. a leader in the construction industry with over a century of service supporting America s most important infrastructure projects in the Northeast and Mid-Atlantic regions of the United States. Riggs Distler has a reputation as an employer of choice in the industry and promotes a safe, exciting, and team-oriented work environment, empowering people to grow and evolve with our business.

As a Contract Manager, you will be responsible for managing all aspects of the contract life cycle.

Benefits:

Competitive Compensation Package

Paid Time Off

Company sponsored Healthcare Plan including Medical, Dental & Vision Coverage

HSA Account with Company Contribution

401k Retirement Plan with Company Match

Profit Sharing

Accident & Critical Illness Insurance

Student Loan Payment & 529 College Saving Program

Company Paid:

Life & AD&D Insurance

Short-Term & Long-Term Disability Insurance

Identity Theft Protection

Employee Assistance Program

Responsibilities:

Draft and revise a variety of contracts with customers and subcontractors

Ensure the organization's internal contract documents are accurate and well maintained

Meet with customers and subcontractors to discuss both legal and business matters

Provide advice and guidance to the different teams relating to contract generation

Maintain excellent working relationships with clients and subcontractors

Create, prepare, review and edit all contracts

Analyze and prepare claim documentation

Analyze and prepare change order / variation requests

Education, Skills, Experience Needed:

3 to 5 years Experience working in the construction / infrastructure industry (General contractor experience preferred)

Bachelor s degree preferred

Understanding of legal terminology and key contract provisions. Experience working with prime contracts and flow down subcontracts

Experience managing change orders / variations and claims

Attention to detail

Possesses superior organizational skills and the ability to manage multiple projects with shifting deadlines

Working proficiency with Microsoft Office / Excel

Excellent written and oral communication skills

Creative problem solving abilities

This job description is subject to change at any time. It reflects management s assignment of essential functions and does not exclude or restrict the tasks that may be assigned. Riggs Distler & Company, Inc. will provide equal employment opportunities to all applicants without regard to an applicant s race, color, religion, sex, gender, genetic information, national origin, age, veteran status, disability, or any other status protected by federal, state or local law. Riggs Distler & Company, Inc. will provide reasonable accommodations to allow an applicant to participate in the hiring process (e.g., accommodations for a test or job interview) if so requested

#HP

Job Type: Full-time

Benefits:

401(k)

401(k) matching

Dental insurance

Employee assistance program

Health insurance

Health savings account

Life insurance

Paid time off

Retirement plan

Vision insurance
Schedule:

Monday to Location: In person

Job Description:

Key Functions/Responsibilities:

Gathers and analyzes data and other relevant intelligence in assessing provider network adequacy against required standards and business expectations

Identifies, assesses and develops strategies for improving provider and network cost, utilization and quality performance

Leads negotiations of financial and other contractual terms in all lines of business

Ensures all contract terms and conditions comply with financial and legal requirements of our company and its regulatory entities (e.g., MassHealth, Commonwealth Connector)

Develops and maintains business relationships with high-level representatives of key contracting hospitals, physicians and ancillary service providers

Participates in the development, implementation & continuous improvement of departmental policies, procedures, workflows, and tools as they relate to network development and provider contracting

Performs other duties as required to accomplish departmental and corporate goals & objectives

May supervise less experienced staff

Job Type: Full-time

Pay: $60,000.00 - $90,000.00 per year

Benefits:

Dental insurance

Health insurance

Life insurance

Paid time off

Vision insurance
Schedule:

8 hour shift

Ability to commute/relocate:

Boston, MA: Reliably commute or planning to relocate before starting work Location: One location

The Government Contracts Manager/Bid Manager is responsible for researching, managing, and obtaining various contracts that GSS is seeking, negotiating, and entering. This position must be skilled in securing janitorial and security contracts at the local, state, and federal government level. The Government Contracts Manager/Bid Manager must be sharp, and knowledgeable about the details and potential benefits of any contract and must successfully adjust to the needs of GSS business specifically relating to janitorial and security in order to continue to grow GSS business.

Duties & Responsibilities:

Research and complete any necessary requirements to receive appropriate approval to bid and submit bids for local, state, and federal government contracts

Researching and staying abreast of upcoming bid opportunities

Developing and implementing effective strategies to bid for and win new contracts

Identifying new and valuable information to include in bids

Planning and creating detailed bidding proposals

Conducting risk assessment and bringing issues to senior management

Coordinating with clients, vendors, and suppliers

Planning and managing the budget

Forecasting market trends

Coordinating with the team members to gather relevant information and data

Ensuring deadlines are met

Maintaining a detailed and accurate record of the expenses and other costs

Understanding the customer requirements and including the same in the bid proposal

Overseeing and negotiating bid pricing

Performing other duties as assigned

Minimum Requirements:

Must have three (3) years of experience securing local, state, and federal level contracts, specifically in janitorial and security

Bachelor's degree in Business Administration, Business Management, or a related field preferred

Proven work experience as a Government Contracts Manager/Bid Manager or a similar position in the Sales department

Complete knowledge of the industry trends and practices

Strong analytical and problem-solving skills

Good time management and organizational skills

Proficiency in Microsoft Office

Strong leadership and managerial qualities

A team player and ability to work independently

Ability to handle stressful situations and manage deadlines

Good communication and interpersonal skills

Excellent negotiation skills

Ability to offer excellent customer service

Job Type: Full-time

Pay: From $85,000.00 per year

Schedule:

8 hour shift

Monday to Friday

Experience:

Bidding on Government contracts: 5 years (Preferred)

Negotiation: 5 years Location: Multiple Locations

Summary
The Contract Manager is responsible for overseeing the day to day operations of a specific HUD region and acts as a liaison with HUD through written and verbal communication.

Key Responsibilities

Develop and submit monthly performance goals for the team and management

Participate in key decisions pertaining to staffing levels

Provide leadership advice to department managers and act as a mentor

Review monthly quality control reports and scorecards with each Department Manager

Provide recommendations for resolutions from deficiencies noted within reports

Monitor new processes to determine if process is efficient

Ensure contractual deadlines outlined by the client are met within each department

Preparation of weekly and monthly reports

Establish monthly and annual budgets related to HUD expenses

Implement approved processes within each department

Required Skills

Minimum three to five years previous experience managing an office

Self-motivated, possess a strong level of initiative and have the ability to achieve results with minimal guidance

Strong relationship and team building skills

Demonstrated ability to successfully coach and develop teams

Excellent written and verbal communications skills

Demonstrated negotiation and problem resolution skills with ability to constructively deal with conflicting priorities

Strong leadership skills with a clear understanding of Raine & Company's core values

Must have strong Microsoft Office, excel and Word Skills

Bachelor's degree or comparable work experience of three to five years
Preferred Skills Real Estate background and experience

Oversight of government contract requirements

Job Type: Full-time

Pay: $50,000.00 - $75,000.00 per year

Benefits:

401(k)

401(k) matching

Dental insurance

Health insurance

Health savings account

Life insurance

Paid time off

Vision insurance
Schedule:

8 hour shift

Experience:

Real Estate: 3 years Location: One location

Position is Urgent to Fill Independently negotiates and finalizes Clinical Trial Agreement and Clinical Trial Amendments to include protocol budgets, PI changes, fixed costs, contract assignments, site/payee name change, terminations, extensions and IRB task orders.

Major Accountabilities:

Develop *Site Clinical Trial Agreements*, budgets, amendments and task orders.

Develop study budget utilizing the benchmark cost.

Independently negotiate and execute Site Clinical Agreements and budget amendment with minimum supervision.

Evaluate and benchmark Investigational sites budget requests for fair market value Work with amendment requestor to ensure amendment integrity prior to negotiation.

Maintain proactive communication with Payments team to ensure payment reconciliation prior to contract termination.

Liaison/collaborate with Clinical Study Manager, Investigational Sites, Legal, Compliance, Patent, insurance and study start up groups to expedite and finalize contracts and amendments.

Technical Skills:

3+ years of contract management and/or study start up activities including contract and budget negotiations.

Experience in pharmaceutical services a plus.

High degree of organizational, analytical, and team management skills.

Computer literacy with document and spreadsheet applications.

Ability to work on complex, multi-faceted projects.

Excellent negotiation skills and vast knowledge of clinical trial agreements

Education:

Education: Degree in business administration, legal, finance, science or related field or equivalent on the job experience may be considered.

Language: Fluent English (oral and written)

Schedule Notes:

Required Skills: Budget,BudgetS,Clinical TRIAL,Contract Management,TEAM Management,

Additional Skills: Terminations,Clinical STUDY,ContractS,Finance,Liaison,Patent,Payments,Reconciliation,SELF Motivated,

Job Type: Contract

Salary: $45.00 - $50.00 per hour

Benefits:

Health insurance
Schedule:

8 hour shift

Experience:

Clinical trials: 3 years (Required)

Contract management: 3 years (Required)

Budgeting: 1 year (Required)

Work Location: Remote

Speak with the 732- 285-9819

Regents Capital is one of the top 25 rapidly growing independent commercial equipment finance firms in the United States. Regents has been consistently recognized as one of the Top Places to Work in Orange County and is among the leading providers of equipment leasing and financing solutions to middle-market borrowers across an array of industries. It is estimated that over a trillion dollars of business equipment is purchased on an annual basis and Regents Capital serves those mid-size business with solutions to purchase equipment that help their business grow and operate more effectively.

With over 110 years of collective finance expertise, strong industry leaders, and an amazing culture our partnerships have resulted in 35% year-over-year funded volumegrowth, serving to demonstrate our agility and dedication to fueling business growth.

We are actively seeking an experienced Funder to join our team within the Funding department!

Summary:The Contract Manager is responsible for maintaining the day-to-day funding activities including lease and loan documentation, reviewing incoming documentation for accuracy, fund lease and loan transactions within metric timeframes, and communicate with sales representatives, customers, and vendors.

Essential Duties AND Responsibilities:

Review documentation for accuracy for all leases/loans for the direct sales channel to insure it is properly executed in time of funding.

Contact insurance agents to obtain certificates of liability and property coverage that meet the minimum requirements for financing each transaction.

Manually file UCC1, UCC3 and Fixture Filings.

Run UCC Searches and review for any blanket lien filings.

Provide stipulations list of needed items required for funding.

Work with Sales, Credit, Accounting, and Portfolio Management to ensure adherence to credit approvals, policies, and established guidelines.

Verifying with customers by phone the status of funding and payment processing.

Collaborate with external debt sources to ensure everything provided has met requirements.

Validate A/R payment information over the phone with vendors prior to releasing payment to prevent financing a fraudulent account.

Prepare and send funding packages out to external debt sources to ensure they receive all original documentation within 24 hours.

Manage day to day activities within the task queue, emails and in person questions with team members, sales reps and upper management.

Prepare and sign off on funding packages with appropriate authorization.

Consistently maintain and research new processes to improve efficiency.

Job Type: Full-time

Benefits:

401(k)

Dental insurance

Health insurance

Paid time off

Vision insurance
Schedule:

8 hour shift
Supplemental Pay:

Bonus pay

Ability to commute/relocate:

Costa Mesa, CA 92626: Reliably commute or planning to relocate before starting work (Required)

Experience:

Funding: 3 years Location: One location

Caddis Capital Management is the management company for Alpine Home Medical (UT), Copper Star Home Medical Supplies (AZ) and You Can Home Medical (CO). We are based in Draper, Utah and provide support to over 240 employees in Arizona, Colorado, Idaho, and Utah. We are looking for a Medical Contract Negotiator with several years of relevant contract negotiation and implementation experience. This leadership role will be responsible for contract development and strategy, fundamental knowledge of medical and government contract methods and skilled in securing business via best practices of negotiation and strict adherence to established policies and procedures.

The successful candidate will be skilled in the development of medical and government contracts, fact-finding to best understand and strategize key issues, analysis of pertinent data points and effectively proposing/negotiating contracts that provide value to stakeholders. Presentation skills and polished communication skills are key in this role. Developing and maintaining professional relationships with stakeholders is a critical aspect of this role.

Responsibilities:

Overseeing, crafting, evaluating, negotiating, and executing contracts with all payor types (Commercial, Medicare Advantage, Medicaid ACO, Network, TPA, etc.) for the organization.

Creating and maintaining relationships with payors (provider relations, provider contracting, utilization management teams, etc.), serving as the singular point of contact for matters concerning contracts.

Keeping up-to-date on different reimbursement methodologies (fee-for-service, capitation, outcomes based, etc.)

Discerning that all contracts signed are beneficial and profitable to Caddis-affiliated companies.

Identifying and seeking out new contract opportunities provided by government-entities and non-insurant organizations.

Facilitate training and in-services with payors to help them better understand the DME industry.

Keeping records for corresponded and documentation and maintaining accurate insurance provider lists internally for marketing purposes.

Staying current in industry needs and current practices through continued education and/or seminars.

Training internal staff to understand and implement contract requirements.

Completing payer applications and re-credentialing requests as required.

Working with claims department both internally and at the payor level to keep accounts receivables at appropriate levels.

Monitoring contracts and moving forward with close-out, extension, or renewal.

Traveling and marketing both in-state and out-of-state.

Solving any contract-related problems that may arise with other parties and within the company.

Communicate and present information to executive leadership about all contract-related matters.

Performing other duties as deemed appropriate by management.

What We'll Need from You:

Bachelor's degree in Business Administration, or another related degree.

5+ years experience in contract negotiations.

Excellent attention to detail.

Solid understanding and working knowledge of health care contracting.

Exceptional technical skills using Microsoft Office.

Ability to effectively manage several projects while meeting critical deadlines.

Ability to stay cool and work effectively under pressure.

Strong organization and analytical skills.

Excellent verbal and written communication skills.

A demonstrated track record of meeting or exceeding company expectations.

Why Work Here?

Full-time employment at Caddis Capital Management offers Medical, Dental, Vision, and Life Insurance, 401(k) program with company match, and other benefits to provide our employees security in their employment. We enjoy a business casual dress code, a team-oriented culture, an office near two I-15 exits, and a friendly environment that encourages growth, learning, and collaboration.

Job Type: Full-time

Benefits:

401(k)

401(k) matching

Dental insurance

Employee assistance program

Health insurance

Health savings account

Life insurance

Referral program

Vision insurance
Schedule:

8 hour shift

Day shift

Monday to Friday

Experience:

Medical Insurance contract acumen: 3 years (Preferred)

Effective negotiating and proposal: 1 year (Preferred)

Strategic planning and development: 1 year Location: One location