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Contract Manager - Payer Contracting (remote/hybrid)
Portland, ME
Job Description
Summary
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Position Summary
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The Contracting Manager will be actively involved in the development and negotiation of agreements, amendments and other related documents between the MaineHealth Accountable Care Organization (ACO) and Payers and between the MaineHealth ACO and contracting providers (Medical and Behavioral HealthCare providers and facilities). The Contracting Manager will assist in financial modeling related to contracting as needed. The Contracting Manager will assist in the identification and resolution of payer issues impacting MaineHealth ACO members. Further, the Contracting Manager will participate in communications and education to MaineHealth ACO members regarding Payer agreements.
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Required Minimum Knowledge, Skills, and Abilities (KSAs)
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Education: Bachelor's degree. Masters preferred.
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License/Certifications: N/A
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Experience: At least 5 years' experience in managed care or related healthcare field.
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Strong analytical, problem-solving, and decision-making skills.
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Excellent organizational skills.
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Ability to work both independently and to collaborate with teams of individuals in diverse settings.
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Ability to manage conflict, stress and multiple simultaneous work demands in an effective, professional manner.
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Ability and willingness to self-motivate, prioritize, and be willing to change processes to improve effectiveness efficiency. Adapts to changing organizational priorities.
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Knowledge of computer software, including Microsoft Office.
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Additional Information
With a career at any of the MaineHealth locations across Maine and New Hampshire, you'll be working with health care professionals that truly value the people around them - both within the walls of the organization and the communities that surround it.
We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow - programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family.
With a career at any of the MaineHealth locations across Maine and New Hampshire, you'll be working with health care professionals that truly value the people around them - both within the walls of the organization and the communities that surround it.
We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow - programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family.
MaineHealth remains focused on investing in our care team and developing an inclusive environment where you can thrive and feel supported to realize your full potential. If you're looking to build a career in a place where people help one another deliver best-in-class care, apply today.
Additional Information
MaineHealth is a health system whose members and affiliates include hospitals, physician practices, long-term care facilities, home care agencies, and support services. Learn more about this system at www.mainehealth.orgMaineHealth values diversity and is an Equal Opportunity/Affirmative Action employer. Federal and state laws prohibit discrimination in employment because of race, color, national origin, religion, age, sex, sexual orientation, disability or veteran status.
Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Experience
5+ years
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