Manager of Payor Contracting

Manager of Payor Contracting

This is a remote position.

Overview:

The Manager of Payor Contracting ensures consistent management of all proposals and contracts. This includes oversight of the contract management process, as well as development of specific standards for bidding and submission, contract negotiations and document management. The Manager of Payor Contracting collaborates closely with various departments, such as Account Management, Business Operations and Finance in the contract development process.

Essential Functions:

• Oversee organizational contract development and management activities and uphold organizational principles of integrity and compliance.
• Ensure that contracts and proposals are properly entered into organizational databases and securely maintained.
• Develop standards for contracts, including presentation of payment terms, general language, and provisions.
• Conduct contract strategy meetings to identify issues, facilitate pricing discussions, and obtain senior management input on timelines and deliverables.
• Draft contractual provisions based on strategy discussions, senior management input, and organizational needs and expectations.
• Assure accuracy and appropriateness of contract text and attachments.
• Serve as primary organizational contact during contract negotiations.
• Develop and execute negotiation strategies that minimize potential losses and benefit the organization’s financial performance.
• Maintain deadlines on deliverables and communicate on an ongoing basis with business partners and internal clients about contractual issues.
• Review contractual performance of both parties to ensure compliance with terms and to identify conflicts or changes requiring resolution.
• Oversee the day-to-day function of the Contract Management department (managed care department) and ensure the quality and timeliness of team performance.

Education and Experience:

• Bachelor’s degree in business, healthcare management, or related field preferred. Advanced degree desirable, or equivalent combination of education and experience.
• 3-5 years of prior experience in a managed care contract management role.
• Prior experience in a supervisory role, with the demonstrated ability to train and develop staff, applying applicable knowledge and experience.
• Proficiency in utilizing and interpreting financial models and analyses.
• Experience in applying organizational standards when developing requests for proposals, negotiating terms, and drafting contracts.
• Proficiency in Microsoft Office and Adobe applications.
• Demonstrated ability to work in a fast-paced environment while maintaining high standards of accuracy.
• Demonstrated ability to utilize tactful and professional written and oral communication skills.

Why choose Innovative Renal Care?

Innovative Renal Care (IRC) provides high-quality care to patients suffering from End Stage Renal Disease (ESRD) and other kidney conditions. Together, we are one of the largest dialysis service providers in the United States. We partner with local physicians, enabling them to provide exceptional dialysis care to patients.  

Our team lives by our values of Integrity, Innovation, Compassion, Accountability, Results Driven and Everyone Counts!

• Innovation & Integrity - Deliver on our promises with dedication and clarity. Engage and empower others by sharing ideas and successes.
• Compassion - Treat patients and their families with the utmost respect and empathy.
• Accountability - Take ownership when resolving issues and solving problems, trusting others to support us.
• Results Driven - Keep raising the bar for our own performance, helping, and encouraging our colleagues to do the same.
• Everyone Counts - Respect people of all backgrounds.  Strive to create a diverse and equitable workplace.  

Equal Opportunity Employer:
Innovative Renal Care is an equal opportunity employer and a drug free workplace.  All qualified We applicants will receive consideration for employment without regards to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, disability, or protected veteran status.  

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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)