Provider Contracting Executive

Overview University of Utah Health is a patient-focused organization that enhances health and well‑being through patient care, research, and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff committed to compassion, collaboration, innovation, responsibility, integrity, quality, and trust. EO/AA. This position supports the Health Plans Department. The role negotiates provider contracts, conducts reimbursement analysis, evaluates potential network providers, develops and maintains contracted physician fee schedules, and provides assistance on ad hoc contracting projects. The position does not provide direct patient care. Responsibilities Establish and maintain strong effective relationships with providers, serving as the liaison between UUHP and provider organizations, medical groups, and other healthcare providers. Negotiate low‑volume, single‑department letters of agreement and invoice settlements with providers. Ensure all contracts are properly drafted and executed. Coordinate with multiple departments to ensure contract terms and provisions are effectively communicated and implemented. Serve as a resource to assist with escalated billing and policy issues. Conduct reimbursement analysis to determine financial impact. Analyze potential network providers to assess business compatibility. Audit and troubleshoot negotiated reimbursement terms with claims and contract compliance systems. Maintain current knowledge of appropriate contractual provisions and government regulations related to the establishment and maintenance of contractual arrangements. Represent provider relations and contracting department at meetings. Knowledge, Skills, and Abilities Ability to perform the essential functions of the job as outlined above. Strong oral and written communication skills to effectively communicate with a broad array of internal and external contacts. Proven ability to build and maintain positive relationships. Knowledge and understanding of the provider community and principles of healthcare delivery systems. Self‑motivated with effective time‑management skills. Working knowledge of healthcare operations and billing principles. Good analytical and problem‑solving abilities. Experience using word processing, spreadsheet, database, internet, and e‑mail applications. Required Qualifications Bachelor's degree in Business, Health Care Administration, Accounting, Nursing, or equivalency. Three years of health care industry or health insurance industry experience. Preferred Qualifications Knowledge of ICD‑9 and CPT codes. Working Conditions and Physical Demands Employee must be able to meet the following requirements with or without an accommodation: this is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull, or otherwise move objects. The position involves sitting most of the time and is not exposed to adverse environmental conditions. Physical Requirements Listening Sitting Speaking Standing #J-18808-Ljbffr University of Utah Health