Healthcare Contracts Manager, Grants Pass, OR Healthcare Executive, Management and Professional Jobs and Careers (1 - 1) of 1
Healthcare Contracts Manager
Overview
The Healthcare Contract Manager is responsible for the development, negotiation, management, and compliance oversight of contracts within our behavioral health organization. This role assists the agency in negotiating primary contracts with third party payers such as Blue Cross, MODA, etc. Monitors contract deliverables for the agency and its subcontractors to ensure they are met timely. This role works with the agency subcontractor network to ensure compliance with contracts. Ensures legal requirements and regulatory standards are met in contracting. Tracks and monitors due dates, renewals, etc. Must have a strong understanding of healthcare laws and contracting principles, and have negotiated third party contracts.
Responsibilities
Drafts, reviews, and negotiates fee schedules and contracts. Manages contracts including provider agreements, payer contracts, business associate agreements (BAAs), and managed care contracts.
Reviews network adequacy and assists in recruiting new subcontractors to meet regulations.
Ensures compliance with federal and state healthcare laws, including HIPAA, Stark Law, Anti-Kickback Statute, and other applicable regulations.
Serves as liaison between Options executive team and external parties during contract negotiations and execution.
Monitors contract terms and obligations to ensure adherence to deadlines, renewals, and performance metrics.
Maintains an organized contract management system for tracking key dates, milestones, and metrics.
Provides guidance and training to internal stakeholders regarding contract requirements and processes. Follows up to ensure deliverables are on track.
Conducts periodic audits and risk assessments of contractual arrangements.
Identifies potential risks associated with contracts, such as financial liabilities or regulatory non-compliance.
Builds and maintains strong relationships with contractors and other stakeholders to foster collaboration and ensure smooth contract execution.
Troubleshoots any contract issues and helps to find solutions to issues.
May assist with contract related requests for State and regulatory audits.
Assists the Executive Director with special projects as requested.
Travels between sites.
Qualifications
Bachelors degree in business administration or master’s degree preferred.
3 years managing and/or negotiating contracts for health care organizations including with third party payers.
Candidates must be able to use e-mail, compose documents, save and locate documents electronically, and learn to use our Electronic Health Record (EHR) system. Proficiency in Word and other MS Office applications preferred.
Must pass state-required background and DMV checks; possess a valid OR driver's license and a satisfactory driving record. Candidate must be able to work independently and flexibly, under general supervision.
Options for Southern Oregon recognizes that in order to best serve the healthcare needs of our communities and fulfill our mission, we must learn, grow, incorporate, and value the principles of diversity, equity, and inclusion in our work and in our lives. We are committed to the continued development of an aware, diverse, and culturally responsive workforce and an organizational culture that is supportive and affirming for all staff and clients. Options acknowledges that incorporating EDI principles in our practices is an ongoing learning process and we are committed to using our voice to effect positive change. We recognize that making an impact on health inequities in our community will take more than just a statement and, to this end, our goals, planning, and actions aim to promote and develop equitable and effective health care services to reflect the needs of our diverse communities.
Options for Southern Oregon provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.