Contract Administrator, Value Based Initiatives

Contract Administrator, Value Based Initiatives page is loaded## Contract Administrator, Value Based Initiativeslocations: 43 New Scotland Avenue Albany, NY 12208: 102 Park Street Glens Falls, NY 12801: 211 Church St Saratoga Springs, NY 12866: 71 Prospect Avenue Hudson, NY 12534time type: Full timeposted on: Posted Yesterdayjob requisition id: 68520Department/Unit:Integrated Delivery SystemsWork Shift:Day (United States of America)Salary Range:$71,612.39 - $110,999.20Working at the direction of the VP for Payer Contracting, the Contract Administrator makes data-supported recommendations, supports the development of AMC/IDS contracting strategies, and, as assigned, negotiations/negotiate with established and new payers, both commercial and governmental. Support functions include but are not limited to economic and risk assessments in collaboration with Corporate Finance and ensuring implementation and operational performance of such contracts, consistent with the negotiated terms. The Contract Administrator prepares contract proposals for internal review and consideration, prepares for and conducts meetings/negotiations, presentations, and other organizational functions as assigned. The Contract Administrator maintains strong relationships working collaboratively across AMC/IDS and payer organizations. This includes but is not limited to coordinating operational input across all applicable internal departments including Practice and Hospital Administration, Billing, Finance, Information Systems, Utilization Management, Quality, Credentialing, Managed Care Organizations, payer, and other related internal and external entities. For each AMC/IDS contract portfolio the Contract Administrator assists with the development of reporting instruments including but not limited to contract performance parameters and/or profit/loss comparisons by service. The Contract Administrator works collaboratively within the Department to develop payer profiles to include but not limited to membership, market share, financials, products and volumes at AMC/IDS.In conjunction with or at the direction of VP for Payer Contracting negotiates contract parameters and methodologies and prepares/presents proposals representing AMC/IDS's position. Works cross functionally within AMC/IDS to evaluate and develop such proposals identifying opportunities and risks. Presents such opportunities and risks to VP for Payer Contracting and others within AMC/IDS as directed. Collaborates with the Legal and Compliance Department and other departments within AMC/IDS to ensure compliance and implementation capabilities.Works cross functionally within AMC/IDS to review terms and performance of each established contract portfolio; makes data informed recommendations for methodology changes including but not limited to those related to VBP identifying opportunities and risks.Mediates contract disputes to resolution and ensures compliance (both internally and externally) with contract provisions.Monitors contract renewal dates in coordination with Contract Specialist to ensure appropriate review is conducted. Coordinates with Finance and others to ensure timely/applicable contract analyses. Reviews for risks and works collaboratively with Financial Reporting to ensure appropriate modeling. Understands all modeling parameters and reports on such.Responsible for contract education to various departments, including executive leadership, Finance, Billing, Practice Administration as required. Responds to requests for further information and follow-up as required or in coordination with Contract Specialist.Plans presentations and meetings including preparing narrative, overheads and handouts as assigned. Ensures accurate reporting in all prepared presentations for documentation/archiving.Monitors contract performance by independently collecting data, analyzing and completing spreadsheets to include comparative and economic assessments and reports on such. In conjunction with VP for Payer Contracting works collaboratively with Data Analytics to develop routine reporting instruments for AMC/IDS.Maintains broad knowledge of payers in the AMHS/IDS market, whether contracted or not. Assists with gathering of current data on all major managed care organizations, including information regarding: financials, current membership, physician networks and current/future marketing plans. Assists with the development of and prepares/presents reporting instruments for the AMC/IDS.Maintains the absolute confidentiality of patients and AMHS/IDS contracts,Promotes and contributes positively to intra-departmental and inter-departmental relationships by cooperating with the resolution of conflicts which may develop.Performs special projects and assignments as requested by the VP for Payer Contracting and the Senior Executive Vice President, Integrated Delivery Systems. Assists with IDS Affiliate contracting processes related to payer contracting.Knowledge base must remain current in changes regarding Federal and New York State regulations of provision/reimbursement of medical services including but not limited to federal and NYS VBP Roadmaps.Thank you for your interest in Albany Medical Center!Albany Medical is an equal opportunity employer.This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.Albany Medical Center is the centerpiece of medicine, research, and medical education in New York’s Capital Region and is the area's largest private employer with more than 10,000 employees. Albany Medical Center offers excellent career opportunities in a wide range of roles in both patient care and administration. We value all our staff members and offer including: · Excellent health care coverage with no copay at Albany Medical Center providers· A wide array of services and programs to support emotional, physical, and mental wellbeing Anchored in the state’s historic capital city, Albany Medical Center offers a full range of inpatient and outpatient care and is home to the region’s largest hospital, only Level 1 adult and pediatric trauma centers, and only children’s hospital. The downtown campus also offers opportunities at Albany Medical College. , along with , , , and the , form the Albany Med Health System, serving more than three million people over 25 counties. #J-18808-Ljbffr Albany Medical College