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Provider Contract Manager

JPS Health Network

Provider Contract Manager The Provider Contract Manager oversees and manages contractual agreements between the hospital and healthcare providers, ensuring compliance with regulatory requirements and optimizing financial and operational outcomes. This role involves negotiating contracts, maintaining provider relationships, and collaborating with various hospital departments—including Clinical Operations, Acclaim Provider Group, Contracts Administration, Finance, and Accounting—to support efficient contract execution and administration. Essential Job Functions & Accountabilities Develop, negotiate, and manage contracts with healthcare providers, including physicians, medical groups, and ancillary service providers. Ensure compliance with legal, regulatory, and hospital policies in all contracting activities. Work closely with the contracting team and provide clinical, operational, and financial information to assist in negotiating successful contracts. Collaborate with hospital leadership, finance, legal, and operations teams to align provider contracts with hospital goals and budgets. Maintain strong relationships with providers to facilitate smooth contract negotiations and ongoing agreements. Monitor contract performance, reimbursement structures, and payment terms to ensure optimal financial and operational outcomes. Reconcile provider invoices to ensure accurate payment according to agreement terms. Assist in resolving contract disputes and ensure adherence to terms and conditions. Serve as the liaison for JPS clinical teams and provide timely information on the effectiveness of executed agreements with contracted clinician services. Ensure quality metrics and KPIs are met to promote cost‑efficiency throughout the network. Provide the JPS executive team with insight into changing physician practice patterns and resource needs. Analyze market trends, reimbursement models, and industry regulations to inform contract strategies. Maintain accurate records of provider agreements, amendments, and compliance documentation. Provide regular reporting and analysis on contract performance and provider network adequacy. Ensure that all provider operations are compliant with applicable government regulations and contract language. Establish solid working relationships with department leaders, staff, providers, and contract agencies to assure the coordination and integration of exceptional patient care throughout JPS. In collaboration with network leadership, develop policies and procedures for clinician services. Job description is not an all‑inclusive list of duties and may be subject to change with or without notice. Staff are expected to perform other duties as assigned. Required Qualifications Bachelor’s degree in Finance, Business Administration, Health Administration, or a similar field. A minimum of 5 years’ experience in healthcare contracting, provider relations, or a related area. Preferred Qualifications Master’s degree in Finance, Business Administration, Health Administration, or a similar field. 5 plus years of experience in healthcare contracting, provider relations, or a related area. Location 1500 S. Main Street, Fort Worth, Texas, 76104, United States #J-18808-Ljbffr JPS Health Network

Vacancy posted 7 hours ago
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