Corewell Health
Healthcare
ProviderContractSpecialistLead
Neural analysis suggests this role is
optimal for Lead candidates.
“Provider Contract Specialist Lead at Corewell Health. Skills: Managed care contracting, Contract negotiation, Healthcare trends. Manage contract development and negotiations process. Enter/maintain/oversee current information in internal contract repository and”
Industry & Context.
Root cause analysis; Evaluate alternative solutions; Resolve problems; Improve outcomes
What They're Looking For.
Must Have
Bachelor's Degree or equivalent in Business Administration, Health Care Administration, Finance, Health and Human services or related degree programs, At least 10 years of experience within the healthcare system in either a payer or provider capacity in a direct, outward-facing role that includes data analytics, Relevant experience in finance or contract management
Nice to Have
Masters Degree in business administration, health care administration, finance, health and human services, Experience in a team lead or project management role responsible for personnel and their success, Experience working with legal staff, Skills in best practices for contract negotiation tactics and strategies, Working knowledge of anti-trust laws
What You'll Do.
Manage contract development and negotiations process
Enter/maintain/oversee current information in internal contract repository and
methodical management of contracts from initiation
Create contracting strategies and deploy techniques that move
Provide effective oversight of contract implementation process
Ensure all contracts are within required guidelines and
Develop regular reports on contract milestones
Inform internal customers of activities and progress
Interface routinely with leadership on an independent basis
Apply critical thinking skills to analyze complex situations
Evaluate alternative solutions
Investigate operational
or administrative issues
Assess system processes
evidence-based conclusions
Make sound recommendations to resolve problems or improve
Collaborate with cross-functional teams to develop and implement
Ensure alignment with organizational policies and goals
Monitor the effectiveness of implemented language
Renegotiate as needed
How You'll Work.
Team & Collaboration
Cross-functional teams
Communication Scope
Verbal communications; Written communications
Process & Methodology
Project management
Full Job Description
## Job Summary Lead by example, holding positive and respectful relationships with highly-valued and complex internal and external customers. The successful candidate will understand the nuances of managed care contracting, analytics, managed care payers, delivery system’s primarily operations, functions of a revenue cycle, and know where and when it is appropriate to engage senior leaders. The candidate will also understand the latest healthcare trends and leverage their past years of experience to creatively design contracts that add value for Corewell Health. Lead tactically by helping junior staff with complex contract terms and negotiating techniques to help prepare for successful contract discussions. The successful candidate will also lead administratively by managing internal communications as it relates to the contracting process and tracking success while driving key projects. The candidate will also gather market and competitive intelligence through secondary sources as it relates to payers and providers and health care policy to increase knowledge providing leverage for the department to use in contract negotiations. ## Essential Functions * Manages the contract development and negotiations process for delivery system network initiatives. Enters/maintains/oversees current information in the internal contract repository and system contract database. Leads the proactive, methodical management of contracts from initiation through execution, compliance and renewal. * Creates contracting strategies and deploys techniques that move payers to desired contract terms according to guidelines and preferred language. Provides effective oversight of contract implementation process ensuring all contracts are within required guidelines and financial parameters and timely. * Leads the drafting, review, negotiation, and execution of assigned payer contracts from start to finish. Develops regular reports on contract milestones and performance; and informs internal custome
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