Manager, Payer Contracting

Job Description:

The Payer Contracting Manager – Joint Ventures is responsible for effective management of assigned Joint Venture payer contracts, including supporting contract negotiations and relationships. The leader manages all aspects of assigned Joint Venture payer contracts, including Joint Venture payer contract management, Joint Venture payer relationship management, rate negotiation, dispute resolution, internal coordination, and coordination with the Joint Venture partner.

Additional Information

• This is an exempt, full-time position. Pay offers are determined by prior years of relevant experience within the established pay range. In addition to the annual salary, to show our commitment to you and assist with your transition,, we may offer a sign-on and relocation bonus when applicable. With this position, you are eligible to participate in the Annual Pay for Performance (AP4P) Plan. This plan enables Intermountain Health to provide leaders with an additional performance compensation opportunity. The AP4P award opportunities are calculated as a percentage of your base salary. Awards are paid out based on attainment of selected Board-approved goals. 
• This position can be performed remotely and will work Monday-Friday during regular business hours. Incumbent must reside in Colorado or Montana.

Essential Functions

• Manage all aspects of assigned Joint Venture payer relationships, including supporting Joint Venture payer contract language negotiation and management, rate and methodology research and negotiation, dispute resolution, and relationship management.
• Maintain ongoing expertise of all assigned Joint Venture contracts, including contract/amendment language and structure, rates, methodologies, and contracted providers/facilities.
• Ensure all Joint Venture contract language, documentation, negotiation, payment rate, payment methodology, contract storage, and escalated contract issues follow Payer Contracting standard practices.
• Represent Payer Contracting and Intermountain Health in key relationships with Joint Venture partners, including leading Joint Operating Committees.  
• Establish and maintain effective long-term relationships with highly aligned payers on behalf of Intermountain Joint Ventures.
• Maintain high levels of confidentiality and strategic alignment.

Skills

• Contracting Strategies
• Joint Venture Management
• Healthcare Contracts
• Negotiations
• Payer Contracting
• Dispute Resolution
• Relationship Management
• Finance
• Managed Care
• Legal Practices

Qualifications:
 

Required

• Experience leading and supporting complex negotiations.  
• Experience in a professional role requiring effective verbal and written communication to present advanced topics in a clear, concise, polished, and professional manner.
• Demonstrated ability to synthesize extensive amounts of data into clear and concise summaries without sacrificing material details.
• Demonstrated knowledge of Joint Venture structure, management, oversight, and contractual requirements.

Preferred

• Bachelor's Degree. Degree must be obtained through an accredited institution. Education is verified.
• Three years of professional experience in a role requiring extensive writing, analysis, contract management, customer service project management, negotiation, and verbal presentations.
• Three years of professional experience managing Joint Ventures and/or management services agreements.
• Three years of experience in a role requiring management of projects and accountabilities from inception to conclusion in an effective and comprehensive manner that appropriately evaluates implications and results in solid solutions, securing beneficial results that add value and contribute to strategic direction.
• Three years of experience in contract writing, negotiating, and managing.
• Three years of experience in the health care industry or health insurance industry
• HIAA I & II Certification.
• Experience using word processing, spreadsheet, database, internet and e-mail, and scheduling applications.
• Working knowledge of health plan, integrated delivery system, and clinically integrated network contracting.

Physical Requirements

• Ability to travel on a frequent basis to negotiate contracts with payers.
• Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with providers, colleagues, customers, patients/clients, and visitors that require employee to verbally communicate as well as hear