Principal Consultant
N2S Healthcare Staffing Solutions LLC
Pay Rate: $51.54/hr to $74.17/hr (Based on experience) Job Title: Principal Consultant System Contracting Location: Troy, MI 48083 Type: Perm Shift: Mon - Fri 8a-5p; Hybrid Schedule - in office Wednesdays Job Summary: This position is responsible for supporting the System Contracting department by providing payer contracting subject matter expertise and performing special project as determined by the Vice President of System Contracting and the Director of Managed Care Contracting. Assignments would include providing consultation on, leading and/or performing; complex payer negotiations, financial model development, analytics, and cross-functional system projects and initiatives. Job Responsibilities: Serve as project manager and execute assigned projects. Projects will include complex cross-functional strategic initiatives and payer negotiations. Perform analytical functions to evaluate contract performance of fee for service and value-based contract terms to support payer negotiations, collaborating with Payors and system colleagues as needed. Serve as subject matter expert on payer contract terms, payer relationships and strategies, fee for service reimbursement terms and value-based financial models. Provide consultation to and educate others within the organization on such subject matter. Support strategic initiatives as assigned, including leading or supporting cross functional teams to drive improved performance and evaluate opportunities. Effectively coordinate and collaborate with System Contracting and other areas within the organization including Primary Health, Reimbursement, Revenue Cycle, Finance, and Analytics. Prepare and present deliverables for executive leaders. Effectively manage multiple projects and assignments occurring at the same time. Perform other responsibilities or assignments as required. Required: Bachelors Degree in Accounting, Finance, or related field (Masters degree preferred) Minimum 10 years experience in healthcare industry Minimum 7 years experience in Payer Contracting, with at least 3 years of experience with value based contracting terms Excellent communication and presentation skills Excellent organizational skills Excellent interpersonal skills Understanding of legal, business, and insurance operation principles Proficiency in Microsoft Word, Excel, and PowerPoint #J-18808-Ljbffr
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