Contract Manager
OneOncology
OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.
Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve.
Job Description:
The Contract Manager will report to our Vice President of Payer Relations. 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 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 to identify opportunities for additional covered services, medical policy changes and reimbursement.
Provides 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 though internal and external communication.
Other duties as assigned to help drive our mission of improving the lives of everyone living with cancer.
Key Competencies
Excellent written and verbal communication skills.
Strong negotiation skills.
In depth knowledge of Medicare, Medicaid, and commercial insurance.
Demonstrate 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.
Qualifications:
Bachelor’s degree required in business, finance, healthcare administration or other relevant fields of study. Master’s degree preferred but not required. Ten (10) years of relevant work experience may be substituted for someone who does not have a bachelor’s degree.
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.