Manager, Payor Relations and Contracting

NOTE - This Position is Hybrid with a minimum of three days on site per week

Job Description : Under the direction of the Director of Managed Care Contracting and Provider Relations, this individual is responsible for managing the payor contracting functions for Hunterdon HealthCare Partners.

Major Responsibilities ? Craft, evaluate, negotiate and execute a wide variety of different contracts covering a range of transactions for hospital and physician entities. ? Create and maintain relationships with external stakeholders (payers) and internal stakeholders (billing, finance, legal, physicians, administration). ? Maintain records for correspondence and documentation in relation to established contracts and those in progress; ensure contract library remains current. ? Communicate and present information to stakeholders about all contract-related matters. ? Solve any contract-related problems that may arise with other parties and internally with the company itself; this includes tracking and monitoring data as it relates to outstanding settlements / projects for payer payment issues. ? Manage and maintain reporting regarding payor trends, contract compliance and contract modeling. ? Manage existing contracts to ensure negotiated rates are achieved. ? Routinely evaluate current contracts for appropriate reimbursement terms and renewals to ensure compliance with industry standards. ? Resolve provider enrollment issues with contracted payers.

Skills and Abilities ? Four to seven years’ experience in responsible positions in healthcare or health plan environment, with financial and managed care contracting experience.

• The individual must have experience in the negotiating / contracting process including a strong ability to organize and prioritize activities while ensuring attention to details. Education Requirements ? Bachelors degree in Business or a related field and five (5) years of related experience required.