ContractProvider Service Manager, Sr- Transplant

Overview

Be inspired. Be valued. Belong.

At Emory Healthcare we fuel your professional journey with better benefits valuable resources ongoing mentorship and leadership programs for all types of jobs and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:

• Comprehensive health benefits that start day 1
• Student Loan Repayment Assistance & Reimbursement Programs
• Family-focused benefits
• Wellness incentives
• Ongoing mentorship development leadership more

Preferred candidates need to have transplant experience as well as the following:

• Managed Care Contracting Experience
• Transplant Experience
• Contract Negotiation Experience
• Academic Medical Center Experience
• Solid Organs/ Stem Cell Specialty Experience
• Resolving Problems with Payers
• Medicare Understanding
• Payer/Hospital Experience

Description

OVERVIEW:

• Independently assesses analyzes and negotiates payer contracts for all hospital and professional entities within Emory Healthcare (EHC).
• Manages information for loading and maintaining payer contracts in EHC decision support systems.
• Implements new contracts amendments and business process modifications.
• Manages provider service relationships for assigned payer organizations and assigned EHC provider entities by managing contract interpretation for operational issues and problem resolution.
• Determines and manages revenue enhancement opportunities for EHC entities through enhanced contract management.
• Manages the balance of contract negotiations and provider service interests through dual responsibility.
• Performs other related duties as required.

MINIMUM QUALIFICATIONS:

• Bachelors degree required. Masters degree preferred.
• Four years experience required but prefer seven years of healthcare related experience preferably in a complex Provider or Payer managed care organization.
• Demonstrates innovative and critical thinking with creative approaches to problem solving.
  PHYSICAL REQUIREMENTS (MediumMax 25lbs): up to 25 lbs 0-33% of the work day (occasionally); 11-25 lbs 34-66% of the workday (frequently); 01-10 lbs 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking Occasional sitting Close eye work (computers typing reading writing) Physical demands may vary depending on assigned work area and work tasks.
  ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock Floor Surfaces Hot/Cold Temperatures Indoor/Outdoor conditions Latex Lighting Patient care/handling injuries Radiation Shift work Travel may be required. Use of personal protective equipment including respirators environmental conditions may vary depending on assigned work area and work tasks.

Additional Details

Emory is an equal opportunity employer and qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcares Human Resources at . Please note that one weeks advance notice is preferred.

Required Experience:

Manager