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Contract/Provider Service Manager, Senior

Emory Healthcare/Emory University

Atlanta, GA

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JOB DETAILS
SALARY
SKILLS
Analysis Skills, Blood-Borne Pathogens, Business Processes, Contract Management, Contract Negotiation, Decision Support, Environmental Work, Genetics, Health Information Management, Healthcare, Hospital, Infectious Diseases, LaTeX Typesetting, Legal, Lift/Move 25 Pounds, Managed Care, Material Moving, Medical Waste, Operations Management, Patient Care, Physical Demands, Problem Solving Skills, Provider Contracting, Revenue Management, Typing, Willing to Travel
LOCATION
Atlanta, GA
POSTED
16 days ago


Overview



Be inspired. Be valued. Belong.

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: + Comprehensive health benefits that start day 1 + Student Loan Repayment Assistance & Reimbursement Programs + Family-focused benefits + Wellness incentives + Ongoing mentorship, development, leadership programs...and more

Description

OVERVIEW: + 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 required. Master's degree preferred. + Four years experience required, but prefer seven years of healthcare related experience, preferably in a complex Provider or Payer managed care organization. + Demonstrates innovative and critical thinking with creative approaches to problem solving.PHYSICAL REQUIREMENTS (MediumMax 25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org . Please note that one week's advance notice is preferred.

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Division

_Emory Healthcare Inc._

Campus Location

_Atlanta, GA, 30345_

Campus Location

_US-GA-Atlanta_

Department

_EHI Contracting_

Job Type

_Regular Full-Time_

Job Number

_164543_

Job Category

_Revenue Cycle & Managed Care_

Schedule

_8a-5p_

Standard Hours

_40 Hours_

Hourly Minimum

_USD $50.18/Hr._

Hourly Midpoint

_USD $61.14/Hr._ 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.

About the Company

E

Emory Healthcare/Emory University

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