Lead Contract Manager (Managed Care Operations - Transplant Background preferred) - 100% REMOTE

Discover Vanderbilt University Medical Center:  Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of diverse individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and where your diversity of culture, thinking, learning, and leading is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.

Organization:

Managed Care Ops

Job Summary:

JOB SUMMARY
Provides leadership in securing optimal reimbursement and protecting the interests of the organization in contract negotiations, implementation, and management of managed care relationships. Contributes to strategy implementation and negotiations with multi-market health plans and physicians to increase the value of services provided.

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KEY RESPONSIBILITIES
• Responsible for the financial analysis, maintenance, negotiation, renegotiation, and management of agreements and contracts with purchasers of healthcare services.
• Plans, prioritizes, collaborates and communicates information regarding projects, issues, and negotiations to ensure relationships are maintained.
• Negotiates contracts with payors based on strategic and financial goals, prior contract performance, projected contract performance, and thresholds.
• Analyzes and finalizes contractual language for operational and financial appropriateness.
• Develops and maintains internal education communication processes and other tools to enhance contract performance, identification and compliance.
• The responsibilities listed are a general overview of the position and additional duties may be assigned.

TECHNICAL CAPABILITIES
• Regulatory Compliance (Expert): Demonstrates knowledge of the appropriate rules and regulations and apply them in difficult, stressful and complex situations. Able to interpret and explain rules and regulations that are ambiguous or unclear. Directs others in interpreting rules and regulations on the job and trains others in them.
• Financial Analysis (Expert): The process of evaluating businesses, projects, budgets, etc. to determine their performance, stability and profitability.
• Financial Modeling (Advanced): Building abstract representations of current and future financial situations in order to make sound financial recommendations.
• Contract Negotiations (Expert): Demonstrates an understanding of negotiating skills such as building trust, gaining commitment, managing the opposition and maintaining goodwill. Realizes the need for mutual concessions and accommodations and negotiates with others for resources, actions or buy-in to maximize collaborative outcomes.
• Networking (Expert): Build relationships through industry contacts, professional organizations and individuals.
• Communication (Expert): Clearly, effectively and respectfully communicates to employees or customers.

Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.

At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose.

Core Accountabilities:

Organizational Impact: Delivers projects/assignments that have a direct impact on goals/objectives of the unit/department that the job is in. Problem Solving/ Complexity of work: Conducts extensive analysis of situations or data to resolve numerous, complex issues; may involve the input/work of others. Breadth of Knowledge: Has in-depth level of knowledge within a professional area and working knowledge of other areas. Team Interaction: May lead mid-sized projects; coaches and guides team members.

Core Capabilities :

Supporting Colleagues: - Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas. - Builds and Maintains Relationships: Maintains reg