Emory Healthcare Senior Contract/Provider Service Manager in Decatur, Georgia
Independently assesses, analyzes, and negotiates payer contracts for all hospital and professional entities within Emory Healthcare (EHC). Manages information for loading and maintaining payer contracts in EHC decision support systems. Implements new contracts, amendments, and business process modifications. Manages provider service relationships for assigned payer organizations and assigned EHC provider entities, by managing contract interpretation for operational issues and problem resolution. Determines and manages revenue enhancement opportunities for EHC entities through enhanced contract management. Manages the balance of contract negotiations and provider service interests through dual responsibility. Performs other related duties as required.
MINIMUM QUALIFICATIONS: Bachelor's degree in business or other health related field. Master's degree preferred. Five years in healthcare related experience, preferably in a complex managed care organization.
- Seeking highly motivated managed care professional for a senior manager position within Contract and Provider Services of Emory Healthcare. Join a broad team of professionals creating new approaches to Clinical Integration and Population Health by contracting with Commercial and Medicare Advantage payers and Employers for value based risk and shared savings arrangements. Seeking individual who is an innovative and critical thinker with creative approaches to problem solving. Analytical experience a plus. - - 79040BR
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Division Emory Healthcare Inc.
Campus Location Decatur, GA, 30030
Campus Location US-GA-Decatur
Department EHI Contracting
Job Type Regular Full-Time
Job Number 16103
Job Category Revenue Cycle & Managed Care
Standard Hours 40 Hours
Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.