Manager, Payer Contracting

Job Description:

The Payer Contracting Manager – Joint Ventures is responsible for effective management of assigned Joint Venture payer contracts, including supporting contract negotiations and relationships. The leader manages all aspects of assigned Joint Venture payer contracts, including Joint Venture payer contract management, Joint Venture payer relationship management, rate negotiation, dispute resolution, internal coordination, and coordination with the Joint Venture partner.



Additional Information

• This is an exempt, full-time position. Pay offers are determined by prior years of relevant experience within the established pay range. In addition to the annual salary, to show our commitment to you and assist with your transition,, we may offer a sign-on and relocation bonus when applicable. With this position, you are eligible to participate in the Annual Pay for Performance (AP4P) Plan. This plan enables Intermountain Health to provide leaders with an additional performance compensation opportunity. The AP4P award opportunities are calculated as a percentage of your base salary. Awards are paid out based on attainment of selected Board-approved goals. 
• This position can be performed remotely and will work Monday-Friday during regular business hours. Incumbent must reside in Colorado or Montana.

Essential Functions

• Manage all aspects of assigned Joint Venture payer relationships, including supporting Joint Venture payer contract language negotiation and management, rate and methodology research and negotiation, dispute resolution, and relationship management.
• Maintain ongoing expertise of all assigned Joint Venture contracts, including contract/amendment language and structure, rates, methodologies, and contracted providers/facilities.
• Ensure all Joint Venture contract language, documentation, negotiation, payment rate, payment methodology, contract storage, and escalated contract issues follow Payer Contracting standard practices.
• Represent Payer Contracting and Intermountain Health in key relationships with Joint Venture partners, including leading Joint Operating Committees.  
• Establish and maintain effective long-term relationships with highly aligned payers on behalf of Intermountain Joint Ventures.
• Maintain high levels of confidentiality and strategic alignment.

Skills

• Contracting Strategies
• Joint Venture Management
• Healthcare Contracts
• Negotiations
• Payer Contracting
• Dispute Resolution
• Relationship Management
• Finance
• Managed Care
• Legal Practices

Qualifications:
 

Required

• Experience leading and supporting complex negotiations.  
• Experience in a professional role requiring effective verbal and written communication to present advanced topics in a clear, concise, polished, and professional manner.
• Demonstrated ability to synthesize extensive amounts of data into clear and concise summaries without sacrificing material details.
• Demonstrated knowledge of Joint Venture structure, management, oversight, and contractual requirements.

Preferred

• Bachelor's Degree. Degree must be obtained through an accredited institution. Education is verified.
• Three years of professional experience in a role requiring extensive writing, analysis, contract management, customer service project management, negotiation, and verbal presentations.
• Three years of professional experience managing Joint Ventures and/or management services agreements.
• Three years of experience in a role requiring management of projects and accountabilities from inception to conclusion in an effective and comprehensive manner that appropriately evaluates implications and results in solid solutions, securing beneficial results that add value and contribute to strategic direction.
• Three years of experience in contract writing, negotiating, and managing.
• Three years of experience in the health care industry or health insurance industry
• HIAA I & II Certification.
• Experience using word processing, spreadsheet, database, internet and e-mail, and scheduling applications.
• Working knowledge of health plan, integrated delivery system, and clinically integrated network contracting.

Physical Requirements

• Ability to travel on a frequent basis to negotiate contracts with payers.
• Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with providers, colleagues, customers, patients/clients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.
• May have the same physical requirements as those of clinical or patient care jobs, when the leader takes clinical shifts.
• As needed: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

 

Physical Requirements:

Location:

Key Bank Tower

Work City:

Salt Lake City

Work State:

Utah

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

$50.22 - $77.53

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.