Payer Contract Manager Sr

MultiCare Health System

Tacoma, WA

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JOB DETAILS

JOB TYPE

Full-time, Employee

SKILLS

Acute Care, Analysis Skills, Behavioral Health, Career Development, Contract Creation, Contract Management, Contract Negotiation, Cost Control, Diagnosis-Related Group (DRG), Environmental Health, Federal Laws and Regulations, Fellowship, Finance, Health Plan, Healthcare, Healthcare Administration, Leadership, Legal, Medicaid, Negotiation Skills, Patents, Patient Care, Pricing, Process Improvement, Provider Contracting, Reimbursement, Relative Value Unit (RVU), Risk, State Laws and Regulations, Third-Party Payer, Tuition Fees

LOCATION

Tacoma, WA

POSTED

30+ days ago

You Belong Here.

At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve.

Seeking candidates with a behavioral health background, knowledge of Washington Medicaid, experience in payer or provider contracting, local to Washington State preferred

FTE: 1.0, Shift: Day, Schedule: Business Hours

Position Summary
The Senior Payer Contract Manager is responsible for developing and implementing contracts with third party payers on behalf of MultiCare Health System and its affiliates. This role ensures MultiCare, and our affiliates have consistent and well-functioning relationships with payers over time, in alignment with MultiCare's vision and strategic priorities. The Manager will lead negotiations with assigned payers to include payment terms based on multiple reimbursement models, including fee-for-service payment terms, value-based payment terms, and gain/risk sharing arrangements.

The Manager serves as the lead managing the overall payer relationship, makes recommendations to Sr. Leadership on product participation, and will continually evaluate the payer relationship for opportunities to improve revenue, lower the cost of doing business, and to improve MultiCare's access to patents. The Manager is accountable for negotiating contract language that aligns with all State and Federal laws and regulations, is consistent across payers, and does not expose MultiCare financial, legal, or operational risk to MultiCare or the payer.

Requirements

Bachelors degree with a major in finance, Healthcare administration, or related field; or 10+ years' experience in Payer Contracting for a Health System or Health Plan as degree equivalent
Minimum seven (7) years of experience performing financial/medical data/payer mix analysis or contract negotiation in a healthcare environment, health system or health plan; acute care setting experience preferred
Experience with medical and pricing terminology to include but not limited to DRG, RUG, APC, RVU, Conversion Factors

Why MultiCare?

Rooted in the local community - Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years

Growth and education - Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in your future

Well-being and support - Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared for at work and in life

Living our values - Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other

Belonging for all - Employee Resource Groups, inclusion initiatives and outreach programs support a workplace where every voice is valued

Pacific Northwest lifestyle - Work and live where natural beauty, adventure and strong community connections are part of everyday life

Pay and Benefit Expectations
We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $100,547.00 - $144,685.00 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant's years of experience align.

Associated benefit information can be viewed here.

MultiCare is an equal opportunity employer. Hiring decisions are made without regard to race, color, religion, national origin, sexual orientation, gender identity, disability or veteran status. EOE/AA/M/F/D/V

About the Company

MultiCare Health System

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