- Identifies, evaluates, and prioritizes contracting opportunities and needs working with central specialties, site administration and management offices.
- Directs and coordinates contract negotiations including legal, business and financial terms.
- Evaluates and analyzes contractual financial methodologies including, but not limited to, full and partial capitation, fee for service, DRG's, per diem, case rates, session fees, performance bonus and management fees.
- Interfaces between Utilization Analysis and Clinical Programs (UACP), Managed Care Finance (MCF), Sites and Specialties to coordinate financial settlements, rate reconciliations, performance bonus and audits.
- Serves as primary relationship manager for internal Harvard Vanguard Medical Associates' departments and external contracted vendors.
- Manages correspondence relating to contracts and responds to requests for potential new contract arrangements.
- Manages and coordinates internal communication with respect to contractual arrangements and information with appropriate departments within Harvard Vanguard Medical Associates.
- Develops and maintains contract administration and compliance function.
- Monitors and evaluates service delivery and patient/member complaints involving contracted providers/health plans.
- Performs all job functions in compliance with applicable federal, state, local and company policies and procedures.
- Generous health and welfare benefit package.
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Project Manager
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Project Manager
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Training Lead
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Help lay Concrete for oversite
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Grafter Breckland, Norfolk, United KingdomGrafter is hiring for a range of contract and short-term jobs across the UK. We currently have a client looking to fill a role with the following description: · Require 2x Labourers for half day to help lay Concrete for oversite. · Will be require to help burrow Contrete and he ...
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Manager of Project Management
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Vocational Training Tutor
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Tax Manager
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TPF Recruitment Breckland, Norfolk, United KingdomTPF Recruitment are recruiting for an Accountancy Practice Tax Manager on behalf of our highly reputable and growing client based in Worthing. they boast a fantastic reputation and have an exciting client base made up of clients within the entertainment sector. These include acto ...
Contract Manager - Breckland, Norfolk, United Kingdom - Atrius Health
1 week ago
Description
Job Description - Senior Contract Manager ( MASS, Local RemoteSenior Contract Manager ( MASS, Local Remote
Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical practice locations in eastern Massachusetts.
Atrius Health's 645 physicians and primary care providers, along with 420 additional clinicians, work in close collaboration with hospital partners, community specialists and skilled nursing facilities.
Atrius Health provides high-quality, patient-centered, coordinated, cost effective care to every patient we serve.By establishing a solid foundation of shared decision making, understanding and trust with each of its patients, Atrius Health enhances their health and enriches their lives.
Atrius Health is part of Optum, a health services company focused on building the leading value-based care system in the country.
Under general direction, is responsible for supporting the practice's overall contracting needs and initiatives, including but not limited to health plans, hospitals, contracted physicians, and ancillary vendors.
Key responsibilities include developing contract strategy, directing contract negotiations, directing analysis and evaluation of financial and legal issues related to contractual arrangements, providing project management of operational issues associated with contract implementation and communication to internal and external customers regarding contract arrangements and information.
Directs and coordinates the development and implementation of contract strategy.Education:
BA/BS (or equivalent education, training, or experience) with an MBA/MPH/MHA desired.
health plan and provider experience). Excellent communication and relationship building skills required as well as contract negotiation. Project management experience is desired. Atrius Health is committed to a policy of non-discrimination and equal employment opportunity.
All patients, employees, applicants, and other constituents of Atrius Health will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation and gender identity and/or expression, or other dimensions of diversity.
Up to 8% company retirement contribution,#
