• Contract/Provider Sr Service Manager

    Emory Healthcare/Emory University (Atlanta, GA)


    Overview

     

    Be inspired** **.** **Be rewarded. Belong. At Emory Healthcare.

     

    At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoingmentorshipand 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,_ and leadership programs

    + And more

    Description

    + 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.

    PREFERRED QUALIFICATIONS:

    + Hospital and professional contract experience.

     

    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 [email protected] . Please note that one week's advance notice is preferred.

     

    Connect With Us!

     

    Connect with us for general consideration!

     

    **Division** _Emory Healthcare Inc._

    **Campus Location** _Atlanta, GA, 30345_

    **Campus Location** _US-GA-Atlanta_

    **Department** _EHI Contracting_

    **Job Type** _Regular Full-Time_

    **Job Number** _142141_

    **Job Category** _Revenue Cycle & Managed Care_

    **Schedule** _8a-4:30p_

    **Standard Hours** _40 Hours_

    **Hourly Minimum** _USD $43.79/Hr._

    **Hourly Midpoint** _USD $59.11/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.