Contract Manager in Little Rock, AR at Beacon Health Options

Job Description

ABOUT THE POSITION

The Contract Manager leads all territory network development and contract management activities for a growing and complex managed behavioral health care organization.   The position is responsible for network development, recruiting for new business, contracting, and rate negotiations for their assigned territory. 

Position Responsibilities:

• Negotiates rates and contract terms with currently contracted providers and facilities.
• In conjunction with internal and external stakeholders, secure executed agreements with identified out of network providers for inclusion in the Beacon Health network.
• Performs reimbursement analysis on providers/facilities that are outside of the targeted rate schedule or performance standards and develop strategies for cost reductions, member needs and increasing quality.
• Identifies opportunities for cost savings and process improvements related to the contracting process.
• Review, draft and document suggested language changes, and oversee resolution of all proposed changes to the provider services agreement.
• Ensures that Contract Language is in compliance with plan agreements and within all state and federal regulatory and NCQA standards.
• Gather, review and submit credentialing applications, as required, for network development and management.
• Provides general support to all network development activities and support Director with implementation requirements.
• Strategizes with other members of the management team and client/plan to ensure access and availability of providers meets current standards.
• Collaborates with other departments to address and resolve operational issues as related to negotiated contract language.
• Prepares reports and analyze data as directed by the Director of Provider Relations or other members of the management team.
• Adheres to all Beacon policies and procedures and standards of operations.
• Completes all required and assigned trainings.
• Attends all mandatory company or department meetings.
• Reports to each scheduled shift and commence work and perform essential job function at the start of each schedule shift.
• Displays a positive, constructive, and helpful demeanor that is conducive to a safe and respectful work environment.
• Acts as a mentor to junior team members by leading by example and guiding with a sense of integrity and team work.
• Assists management with identifying opportunities for staff improvement, high performing team members, and training needs of team members.
• Assist team members and offers suggestions to improve processes, culture, or work environment.
• Performs special projects and other duties as assigned and required.

Position Requirements:

• Education: Bachelor’s Degree required. Business, Finance or Healthcare Management preferable.

Relevant Work Experience:

• At least 3 years’ experience rate & contract language negotiation to include facility and higher level of care experience; In-depth knowledge of provider reimbursement methodologies- behavioral health experience a plus.
• Knowledge of managed care contract requirements to include state and federal regulatory requirements for Medicare and Medicaid plans and CMS guidelines.
• 2 (two) years of provider contracting, provider relations or similar experience
• Intermediate skill knowledge of electronic health record and electronic medical record software systems; FlexCare, Raintree, Connect preferable.

To Apply:

Click below on “Apply for this Position” to create a profile and apply for the position

Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment.  EOE/AA/M/F/Veterans/Disabled