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Manager Payer Contract Administration

Company:
SCL Health
Location:
Broomfield, CO
Post Date:
February 15, 2020
Job Status:
Full-Time
Description:

You.

 

You bring your body, mind, heart and spirit to your work as a Manager, Payer Contract Administration.

 

Youre great at what you do, but you want to be part of something even greater. Because you believe that while individuals can be strong, the right team is invincible.


Us.

 

System Services is our Corporate Headquarters in Broomfield, Colorado and is located within the Oracle campus. SCL Health is a faith-based, nonprofit healthcare organization dedicated to improving the well-being of the people we serve.

 

Benefits are one of the ways we encourage health for you and your family. Our generous package includes medical, dental and vision coverage. But health is more than a well-working body: it encompasses body, mind and social well-being. To that end, weve launched a Healthy Living program to address your holistic health. Healthy Living includes financial incentives, digital tools, tobacco cessation, classes, counseling and paid time off. We also offer financial wellness tools and retirement planning.

 

We.

 

Together well align mission and careers, values and workplace. Well encourage joy and take pride in our integrity.

 

Well laugh at each others jokes (even the bad ones). Well hello and high five. Well celebrate milestones and acknowledge the value of spirituality in healing.

 

Were proud of what we know, which includes how much there is to learn.

 

Your day.

 

As the Manager, Payer Contract Administration you need to know how to:

 

  • Oversee accurate, complete and timely payer contract loading and analytics for contract modeling, contract performance, and plan performance evaluations
  • Lead team to develop and maintain fee schedules and rate documents, provide analysis of proposals, make recommendations for optimum rate structures and terms, and communicate current rates/fees to internal customers.
  • Develop and implement contract reimbursement management policies and procedures to maintain contract and revenue integrity, cross-training of staff, and mitigation strategies for contract build errors and issues.
  • Assure contractual arrangements meet financial budgetary targets and legal and/or regulatory compliance requirements.
  • Develops and implements strategies for the timely identification and resolution of reimbursement variances.
  • Conduct on-going assessments of contracts and make recommendations for strategic initiatives, goals and objectives.
  • Coordinate and communicate contractual terms to other departments whose functions are necessary to the development, implementation and management of the provider arrangements.

 

Your experience.

 

We hire people, not resumes. But we also expect excellence, which is why we require:

 

  • Bachelors degree in business, finance/accounting or health administration
  • Minimum of three to five (3 to 5) years of experience working in a health care or managed care payer setting with a specific background in complex managed care and government contract modeling and maintenance for providers including Health Systems, Physician Hospital -Organizations, Facilities and/or other high level and complex contract building

 

Preferred:

 

  • Knowledge of Epic Resolute
  • Experience implementing and/or managing denials management programs

 

Your next move.

 

Now that you know more about this role and our team we hope youll join us. At SCL Health youll reaffirm every day how much you love this work, and why you were called to it in the first place.

 

Located in Broomfield, CO.

 

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