Manager, Contracting - Santa Barbara, CA, United States
8 hours ago
Job description
DescriptionCottage Health seeks a Manager, Contracting responsible for provide research, analysis, recommendations and implementation of managed care and service contracts as well as lease agreements for Cottage Health and affiliated entities. Accountabilities include strategizing, reviewing and negotiating managed care contracts working with the Director and CFO, financial planning, revenue cycle, and legal to plan for adequate reimbursement for healthcare services.
ResponsibilitiesThis is not an exhaustive statement of duties, responsibilities, or requirements. Employees will be required to perform any job, with related instruction given by their supervisor, subject to reasonable accommodation.
- Assists in the development of value-based contract strategy, including bundled payment arrangements, capitated payment arrangements, etc.
- Interfaces with Patient Business Services on disputes between contract payment and actual payment.
- Supports requests and negotiates payment from non-contracted third party payers for services provided to inpatients of the three hospitals.
- Supports VPs, department directors and managers on service contract and lease review, initiation and renewal, ensuring compliance with the Cottage Health Contract for Services policy. Provides recommendations for cost savings and compliance improvements.
- Administrator for the contract management system (MediTract) for managed care and service contracts. Maintenance of system to ensure adequacy and accuracy of the contract database.
- Communicates throughout the organization on issues related to all contracts and leases, including payer and vendor programs, policies and procedures. Provides recommendations for contract policy updates.
All job qualifications listed indicate the minimum level necessary to perform this job proficiently.
LEVEL OF EDUCATION
Minimum: Bachelors Degree or equivalent experience using the standard that 2 years of experience is equal to 1 year of education.
Preferred: Masters Degree
CERTIFICATIONS, LICENSES, REGISTRATIONS
Preferred: Certified Revenue Cycle Representative
TECHNICAL REQUIREMENTS
Minimum: High proficiency with Word, Excel & Power Point; ability to navigate online Minimum: databases & complete detailed data entry in an online format.
Preferred: Proficiency with MediTract or comparable online database
YEARS OF RELATED WORK EXPERIENCE
Minimum: 2 years experience managing contracts.
Preferred: 5 years experience managing contracts.
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