Search Jobs

Job Details

Please see job description for application instructions.
Company

Cleveland Clinic

Location

INDEPENDENCE, OH

Job Category
Health Care-Cleveland Clinic
Job Type

See job description

Education Level

See job description

Experience Level

See job description

Job Ref #

E487046F-087D-4

Job Title

Contracts Manager - Managed Care Job

CONTRACTS MGR CHN

Reference Title
HR Use Only: Contracts Manager - Managed Care
Hospital: Cleveland Clinic Main Campus & Family Health Centers
Facility: INDEPENDENCE WEST CREEK MCO
Department: MANAGED CARE
Job Code: T31085
Pay Grade: 16
Schedule: Full Time
Shift: Days
Hours: 8am - 5pm
Job Details:

Under the direction of the Director of Contracting, is responsible for the negotiation and renegotiation of managed care contracts. Oversees and coordinates the administrative, legal, operational, and financial issues related to contract negotiation. Maintains a comprehensive payor and managed care intelligence database. Develops responses to request for proposals from managed care plans. Facilitates the creation of managed care educational and training materials for payer contract services, physicians, physician office managers and other participating provider personnel.

Education: Bachelor’s Degree required, Master’s Degree preferred with focus in healthcare finance, marketing, administration or related field.

Experience: Minimum of 3 years managed care contracting experience in a payor or provider setting including negotiation of financial/contract terms and development of contract language. Working knowledge of leading edge managed care methodologies and practices. Working knowledge of managed care operations, physician office practices, as well as hospital admitting, billing, and utilization review operation is essential. Negotiation skills, outstanding analytical ability and financial skills. Effective communication, organization, and interpersonal skills essential, must be able to work with confidential information, accuracy is essential, must be detail oriented. PC skills necessary with experience in Microsoft Office products. Excellent oral and written communication skills.

Licensure/Certification: None required.

Physical Requirements:Manual dexterity to operate office equipment. Ability to lift and transport up to 15 pounds. May require extended periods of standing, walking or siting. Good visual acuity through normal or corrected vision.

Category: Managerial/Professional/Physician


To apply for this job, visit http://www.clevelandclinic-jobs.com/job/INDEPENDENCE-Contracts-Manager-Managed-Care-Job-OH-44131/2370335/?feedId=833&utm_source=MaximusJobs&utm_campaign=ClevelandClinic



Report Abuse

Media Partner
Educational Partner
Official Job Board
MaxJobAlert.com
3740 Carnegie Avenue
Cleveland, Ohio 44115

Contact Us

© 2014 MinuteMen Media, LLC. All rights reserved.
Terms of Use | Privacy Policy