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Organization TypePublic Interest
Years of Experience
Date Last Verified
ProfileContract Specialist Managed Care, Senior Duties: Process for negotiating, managing and evaluating payor contracts with health plans, medical groups, independent practice associations (IPA), hospitals/health care systems, government programs and other payors, as assigned, Medical Group, Alliance of Medical Providers , and Teaching Clinics. Analyzes cost and utilization data to develop rate proposals. Should possess a thorough understanding of contractual provisions, related to both financial and operational issues, and have the ability to present contractual language recommendations to leadership. Also serves as an operational liaison between assigned payors and Teaching Clinics. Should be able to provide guidance to Contract Specialist.
Qualification and Experience
Qualifications: Bachelor’s Degree or equivalent combination of education and relevant experience required; advanced degree (JD Degree , MBA, MHA) preferred. 4 years’ experience in healthcare contract negotiation.Must have prior hospital contracting experience. Ability to communicate effectively and professionally, verbally and written, with external/internal clients. Must be able to prioritize workload and function in a deadline-driven environment; plan, organize, and coordinate appropriate workload in conjunction with other team members. Strong analytical/deductive, mathematical analysis and problem solving skills. Proficient in data manipulation and spreadsheet development. Efficient in using Microsoft Office suite including Excel, PowerPoint, and Word. Prior negotiation experience and proven negotiation skills. Ability to interpret contractual language and regulatory requirements. Familiarity with various reimbursement methodologies, including per diems, case rates, and stop-loss. Ability to work independently and effectively under pressure to meet deadlines.
Req # 31456
Children's Hospital Los Angeles
4650 Sunset Boulevard
Los Angeles, CA 90027