UnityPoint Health

Contract Specialist - Managed Care

Requisition ID
2018-41992
Category
Accounting and Finance
Location
US-IA-West Des Moines
Address
1776 West Lakes Parkway
Affiliate
9010 UnityPoint Health System Services
City
West Des Moines
Department
Managed Care
State
IA
Salary Minimum
USD $23.58/Hr.
FTE
1.0
FLSA
Exempt
Scheduled Hours/Shift
8-5, Monday - Friday

Overview

Responsible for maintaining the SharePoint database for 3rd party payor contracts for all UnityPoint Health providers. Works directly with Senior Leaders to facilitate contract negotiations, and supports the Contract Manager in managing UnityPoint Health physician and ancillary 3rd Party Payor contracts. Responsible for managing physician and ancillary provider/payor contractual and payment issues.

Responsibilities

  • Acts as a subject matter expert, and advises senior leaders when to facilitate the evaluation and negotiation of 3rd party payor contracts and associated amendments for UnityPoint Health providers as assigned. Suggestions are given particular weight with senior management, and the Contract Specialist has an impact on improving levels of reimbursement in the agreements.
  • Understand the financial impact of contract reimbursement.
  • Meet regularly with assigned UnityPoint Health providers to effectively communicate and coordinate payor contracting activity.
  • Maintain current contract listing of 3rd party payors including reimbursement rates on the Payor Contracting SharePoint site.
  • Accountable for contract implementation for physician and ancillary providers, including getting the contract into the system, insuring Revenue Cycle understands the operational requirements of the agreement and senior management is informed of the contractual relationship
  • Act as liaison between assigned UnityPoint Health providers and 3rd party payors related to contractual, educational, and communication requirements and issues.
  • Participate in establishing and preparing departmental goals, standards, procedures and instructions, which contribute to the effectiveness of the department in accordance with organizational goals.
  • Adheres to all UnityPoint Health Personnel policies and procedures, departmental policies, and safety guidelines.
  • Behaves in a manner consistent with all Corporate Compliance policies and procedures.

Qualifications

  • Requires two (2) years of healthcare management or equivalent related experience.
  • Previous experience with 3rd party payors.
  • Requires effective negotiation skills.
  • Requires ability to understand and interpret contract language and reimbursement methodologies for all types of healthcare providers.
  • Must possess excellent written and verbal communication skills.
  • Ability to work as a team member, creating and maintaining effective working relationships with internal and external customers.
  • Ability to understand and apply guidelines, policies and procedures.
  • Extensive knowledge of computer systems including software applications and mainframe.

 

Education:

  • Bachelor’s degree in business related field, preferably in Finance or Accounting.
  • Equivalent on-the-job training and experience will be accepted only if it applies to specific responsibilities of the position.

 

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed

Need help finding the right job?

We can recommend jobs specifically for you! Click here to get started.