Contract Manager

Role Summary:  

The Contract Manager will report to OneOncology’s  Sr.Manager, Contract Management. This role will be accountable for contract life cycle /performance of assigned physician practices, including negotiations and strategy development. The contract lifecycle will include negotiations and strategy development, maintenance, and contributing to value-based care development. This position does not typically have any direct or indirect employees to manage. This is a remote position that does require some travel and proximity to a major airport. 

Responsibilities:  

• Assists in detailed analysis of performance, and provide evaluation, on existing payer contracts in assigned practices.  

• Actively participates in developing payer strategies and business goals with the leadership team for assigned practices/markets. 

• Assures contractual arrangements meet financial targets and legal/regulatory compliance requirements. 

• Leads payer negotiations including managing template versions, review/approval process and multiple concurrent negotiations.   

• Works with internal team members to coordinate analytic requirements and other projects impacted by contract negotiations/revenue. 

• Accountable for all payer related issues and ensuring practices have timely support as needed.  

• Responsible for the accuracy of supporting documentation for contracts and completing documents accurately 

• Ensures contractual language is kept current; evaluate fee schedule on a yearly basis to identify opportunities for additional covered services, medical policy changes and reimbursement. 

• Provide training and education to practice stakeholders as needed on any payer related subject.  

• Ensures practices have access to and properly utilizes all payer tools.  

• Creates and maintains productive and professional relationships between operations, partner practices and payers.  

• Ability to work in a matrix environment where multiple and competing customer demands are likely.  

• Focuses on client satisfaction through internal and external communication.  

• Demonstrate proficiency with financial reports and modeling.  

• Assist in the development of other team members through mentoring if necessary.  

• Participate in the development and/or advancement of value-based care programs.  

• Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer. 

Required or Preferred Qualifications: 

• Associate’s or Bachelor’s degree required in business, finance, healthcare administration or other relevant fields of study.  

• Master’s degree preferred but not required. 

• Minimum 5 years relevant experience working with hospital, clinic, physician practice or healthcare system contracting. 

• Demonstrated knowledge and understanding of the legal and regulatory requirements in the healthcare industry. 

• Current industry experience negotiating physician contracts required.  

• Current or previous payer contracting experience preferred but not required.  

• Travel flexibility as needed. 

Essential Competencies:  

• Excellent written and verbal communication skills. 

• Strong negotiation skills. 

• In depth knowledge of Medicare, Medicaid, and commercial insurance. 

• Demonstrates proficiency with financial reports and modeling.  

• Ability to utilize contract management software tools. 

• Conflict resolution skills and strong relationship building skills. 

• Strong attention to detail. 

• Innovative problem solving and strong critical thinking skills.   

• Ability to manage multiple complex projects at the same time. 

• Participated in implementation of contract management software tools. 

• Experience in value-based care program development. 

• Attendance is an essential job function. 

This job description does not contain a full listing of activities, duties or responsibilities required of this role. Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice. 

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