What are the responsibilities and job description for the Manager System Contracting position at St Lukes Health System (Boise ID)?
Overview
At St. Luke’s, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke’s is truly a great place to work.
What You Can Expect:
This position will report to the Director, System Contracting. The Manager System Contracting will work closely with the Director of System Contracting, participating in all third party payer negotiations and will be the key responsible individual on select payer contracts. The Manager System Contracting will assist in contracting by providing intellectual talent on payer and reimbursement strategies as they relate to the healthcare sector. This position will interact with and provide reimbursement guidance to each facility’s executive leadership team.
- Complete all aspects of select payer contracts, from inception to Site-level acceptance.
- Participate in all third party payer contract meetings.
- Take the lead role in coordinating select major payer contract negotiations, working collaboratively with the Director of System Contracting to complete approval.
- Administer the process to monitor contract renewal dates and other notification requirements.
- Participate in professional activities and maintain professional affiliations to keep abreast of current trends/changes in healthcare legislation, initiation and influencing change as appropriate.
- Provide competent management and leadership to staff and management in area of responsibility.
- Maintain professional relationships and convey relevant information to other members of the healthcare team within facility and any applicable referral agencies.
- Objectively appraise and analyze the qualifications and performance of others as well as plan and direct their activities based on level of training, experience and accountability of the person.
- Report on changing directives/policies/activities to those who require information, including executive staff, administrators, physicians, management staff, and other staff.
- Work cooperatively with all levels of management and staff and provide leadership with efforts to accomplish team and organizational goals.
- Solicit key stakeholder participation in matters that affect the goals and objectives of the organization across all geographical locations of the system.
- Attend or facilitate required meetings with adequate preparation to support Health System’s position and conduct an effective meeting.
- Initiate an annual review of unit/area-based scope of care/service statement and recommend important elements for review or change.
- Develop indicators, thresholds, study methods, and data collection as needed for Performance Improvement initiatives in areas of responsibility.
- Identify and take action to respond to problems/opportunities to improve care/service within the framework of organizational goals.
- Maintain and exhibit accountability for own continued professional development and competencies.
- Perform other duties and responsibilities as assigned.
Qualifications:
- Education: Bachelor's Degree
- Experience: 5 year's experience.
What’s in it for you
At St. Luke’s, caring for people in the communities we serve is our mission – and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Virgin Pulse Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.
St. Luke’s is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.
*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.
