Senior Contract Administrator-Managed Care

The salary range for this position is $37.75 - $56.63 (Hourly Rate)

Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement.

We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more.

Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine.

We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service.

Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment.

Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being.

Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups.

From discovery to delivery, come help us shape the future of medicine.

Benefits:

• $10,000 Tuition Reimbursement per year ($5,700 part-time)
• $10,000 Student Loan Repayment ($5,000 part-time)
• $1,000 Professional Development per year ($500 part-time)
• $250 Wellbeing Fund per year ($125 for part-time)
• Matching 401(k)
• Excellent medical, dental and vision coverage
• Life insurance
• Annual Employee Salary Increase and Incentive Bonus
• Paid time off and Holiday pay

Description

The Senior Contract Admin reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

Responsibilities:

• Evaluates general and specialty payor proposals in conjunction with Manager, Contracting/Transplant, Director, Managed Care, and the Financial Planning and Decision Support team.
• Ties in Long Range Financial Plan considerations as well as viability factors for service lines and potential expansion of programs.
• Interacts with key hospital areas, administrative and clinical, to provide Managed Care perspective and feedback on issues, impacts and concerns regarding insurance payors.
• Coordinates completion of RFIs, Center of Excellence proposals, credentialing packets and any other informational requirements received from payors.
• Develops and maintains productive relationships with managed care payors, specialty payors, brokers, employer groups and other parties that support hospital's strategic goals and objectives.
• Communicates status and progress of the contracting team to internal hospital departments including but not limited to Revenue Cycle, General Counsel, and Senior Management.
• Maintains productive and collegial relationships with internal areas.
• Responds to Contract Auditor/Billing and Follow Up concerns and issues with prompt turnaround and efficiency.
• Analyzes and evaluates local and national managed care issues and market trends; keeping up to date on local market share and demand.
• Measures overall contract performance using Financial and Revenue Cycle data
• Collaborates on contract implementation.
• EOE/AA

Qualifications

Required:

• Bachelor's degree.

Preferred:

• Five or more years in healthcare, negotiation experience on behalf of hospital/health system or large national payor.
• Master's Degree in Healthcare, Business or like studies.

Equal Opportunity

Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.

Benefits

We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.