Contract Manager

Role Summary:

The Contract Manager will report to OneOncology’s Sr. Manager, Contract Management. This role will be accountable for the contract lifecycle and performance of assigned physician practices, including negotiations and strategy development. The contract lifecycle will include negotiations and strategy development, maintenance, and 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 provide 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; evaluate 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.
• Demonstrates proficiency with financial reports and modeling.
• Assists in the development of other team members through mentoring if necessary.
• Participates in the development and/or advancement of value-based care programs.
• Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.

Required or Preferred Qualifications:

• Associate’s or 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.

Essential 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.
• Participated in implementation of contract management software tools.
• Experience in value-based care program development.
• Attendance is an essential job function.

This job description does not contain a full listing of activities, duties or responsibilities required of this role. Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice.

Key skills/competency:

• Contract Management
• Payer Negotiations
• Healthcare Contracting
• Value-Based Care
• Financial Analysis
• Regulatory Compliance
• Relationship Management
• Conflict Resolution
• Project Management
• Contract Management Software