Contract Manager

Job Title: Contract Manager

Location: Manchester NH

Salary: $100000 $115000 Benefits

Job Summary:

We are seeking an experienced Contract Manager to join our team in Manchester NH. As a Contract Manager you will be responsible for developing implementing and managing costeffective provider networks for multiple products. You will lead contract language and reimbursement negotiations with various provider entities across New Hampshire ensuring contract terms and conditions comply with financial and legal requirements.

MustHaves:

• 34 years of progressive provider network and provider network contracting experience
• Indepth knowledge of contract finance and provider reimbursement methodologies
• Proven negotiation and communication skills with hospitals Integrated Delivery Networks physicians and ancillary service providers
• Knowledge of federal and state Medicare Medicaid and relevant guidelines regulations and standards
• Previous healthcare industry experience

NicetoHaves:

• Ideally you will live in NH or be within driving distance to Manchester NH (MA southern Maine will be considered)

Qualifications:

• Bachelors Degree in Health Care Administration Business or a related field
• 3 years of progressive experience in a contracting and analytical capacity in a leadership role (4 years for those without a baccalaureate degree)
• Proven analytical skills in assessing and projecting financial utilization and quality performance
• Indepth knowledge of current healthcare industry issues and trends
• Proven negotiation skills with hospitals Integrated Delivery Networks physicians and ancillary service providers
• Effective communication and relationshipbuilding skills
• Expertise in Microsoft Office programs and industrystandard financial applications

Responsibilities:

• Assist provider partners in interpreting data tools and analytics
• Ensure contracting and implementation process integrity
• Demonstrate knowledge of varying payment methodologies
• Support strategic network composition and design initiatives
• Lead and manage provider implementation
• Ensure provider compliance with contractual regulatory and NCQA requirements
• Participate in crossfunctional workgroups
• Gather and analyze data to assess provider network adequacy
• Identify and develop strategies for improving provider and network performance
• Lead negotiations of financial and contractual terms
• Ensure contract terms and conditions comply with financial and legal requirements
• Develop and maintain business relationships with key contracting hospitals physicians and ancillary service providers
• Participate in departmental policy development and improvement

Our Investment in You:

• Competitive salaries
• Excellent benefits