Contracting Manager

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!

When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!

Role:
The Contracting Manager is responsible for the development, negotiation, and maintenance of payor/healthcare/clinical contracts enterprise wide and management of contracting department. Role will include responsibilities for all managed care and provider contract discussions/negotiations at its initial stages, assessing current contract performance data, the identification of specific revenue enhancement opportunities, re-negotiating contracts to improve financial outcomes/revenue, and managing the contract management software tool across the company.

Job Responsibilities:

• Manages managed care and provider network contract negotiations and maintenance.
• Oversees organizational/affiliate-level credentialing and re-credentialing with managed care plans/payors.
• Responsible for all dimensions of contract administration, including negotiation, correspondence, documentation, certification, financial reporting, and product delivery for major contracts.
• Coordinates approval of negotiation contract terms from proposal stage to project close-out in accordance with relevant regulations.
• Coordinates approval of negotiations, contracts, and subcontracts with appropriate management staff.
• Have the skills and experience to work independent through:
  • The review of contract term and conditions.
  • Identify and advise of contract-related risks.
  • Assist in the preparation of proposal deliverables.
  • Interface with the client’s contracting official.
  • Develop and deliver contract and risk management training.
• Monitor contract performance and assure compliance of the contract.
• Evaluates network to address network adequacy requirements to support organizational growth.
• Develops and maintain processes that provide timely notification of critical contract events (e.g., renewals, termination and due dates contained within the agreements).
• Develop and maintain periodic, e.g., reports on the status of all contracts.
• Ensure accurate data entry of contract specifications and terms into database and completeness of all contracting processes.
• Assists in the development of internal contract administration policy and procedure.
• Proactively supports Chapters Health network development/growth through development of new contracts with payers and service providers and expansion of services with payers and service providers that have existing contracts.
• Lead the entire contract process from pre-contract through post-signature phases and closely collaborates with the Operations Director to ensure that operational leadership is informed of new contracts, changes to existing contracts, and updates to the medical and billing policies of the payers. 
• Performs other duties as assigned.

Competencies:

• Satisfactorily complete competency requirements for this position.

Responsibilities of all employees:

• Represent the Company professionally at all times through care delivered and/or services provided to all clients.
• Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
• Comply with Company policies, procedures and standard practices.
• Observe the Company's health, safety and security practices.
• Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
• Use resources in a fiscally responsible manner.
• Promote the Company through participation in community and professional organizations.
• Participate proactively in improving performance at the organizational, departmental and individual levels.
• Improve own professional knowledge and skill level.
• Advanced electronic media skills.
• Support Company research and educational activities.
• Share expertise with co-workers both formally and informally.

This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.