What are the responsibilities and job description for the Contracts Manager position at MDX Hawaii?
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Company : MDX Hawaii
Job Location :
Hawaii (Hybrid - Remote & In-Office)
Job Title : Contracts Manager
Pay Range :
115,000 to $141,000 per year
This salary range is a guideline. Individual compensation can vary based on factors unique to each candidate, such as skill set, experience and qualifications.
Position Summary :
The Contract Manager develops, negotiates, and renegotiates provider contracts such as PCP, Specialist, Ancillary, Hospital, Vendor, and other contracts for all lines of business where MDX Hawaii holds contracts, including but not limited to Medicare Advantage, Commercial and other Government programs such as ACO REACH and Shared Savings Programs. Using approved contract templates the Contracts Manager is responsible for network analysis, cost structure and maintaining excellent relationships with providers and payors to include any applicable meetings. This position is responsible for managing the data management system, as it relates to contracting, to ensure accurate provider directories can be generated. They will work closely with claims to ensure providers are paid correctly and will conduct contractual review, develop new implementation tools, processes, and other duties, as assigned.
Essential Job Functions :
- Conducts negotiation, analysis and execution of provider and vendor contracts. This includes review, negotiation, and document retention.
- Manages the contract cycle process from start to finish, including document retention through data management tracking tools for contracts, amendments, correspondence, W-9s, templates, etc.
- Drafts and completes vendor contracting process.
- Tracks vendor and provider contacts for renewals.
- Participates in meetings and engages with internal and external staff, as required.
- Works closely with claims and configuration teams to ensure correct provider reimbursement.
- Works closely with credentialing, utilization management, clinical, provider engagement, finance and other teams as needed to coordinate contract analysis and decisions.
- Manages contracting team to include training, education, and process improvement.
Required Qualifications :
Skills and Abilities :
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Salary : $115,000 - $141,000
