Contract manager Jobs in Boston, MA

Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical practice locations in eastern Massachusetts. Atrius Health’s 645 physicians and primary care providers, along with 420 additional clinicians, work in close collaboration with hospital partners, community specialists and skilled nursing facilities. Our vision is to transform care to improve lives. Atrius Health provides high-quality, patient-centered, coordinated, cost effective care to every patient we serve. By establishing a solid foundation of shared decision making, understanding and trust with each of its patients, Atrius Health enhances their health and enriches their lives. Atrius Health is part of Optum, a health services company focused on building the leading value-based care system in the country.

Summary of Position

Under general direction, is responsible for supporting the practice's overall contracting needs and initiatives, including but not limited to health plans, hospitals, contracted physicians, and ancillary vendors. Key responsibilities include developing contract strategy, directing contract negotiations, directing analysis and evaluation of financial and legal issues related to contractual arrangements, providing project management of operational issues associated with contract implementation and communication to internal and external customers regarding contract arrangements and information. Serves as primary relationship manager with contracted entities.

Essential Functions

• Directs and coordinates the development and implementation of contract strategy.
• Identifies, evaluates, and prioritizes contracting opportunities and needs working with central specialties, site administration and management offices.
• Directs and coordinates contract negotiations including legal, business and financial terms.
• Evaluates and analyzes contractual financial methodologies including, but not limited to, full and partial capitation, fee for service, DRG’s, per diem, case rates, session fees, performance bonus and management fees.
• Interfaces between Utilization Analysis and Clinical Programs (UACP), Managed Care Finance (MCF), Sites and Specialties to coordinate financial settlements, rate reconciliations, performance bonus and audits.
• Manages, coordinates, and resolves operational issues related to contracts. Serves as primary relationship manager for internal Harvard Vanguard Medical Associates’ departments and external contracted vendors.
• Manages correspondence relating to contracts and responds to requests for potential new contract arrangements.
• Manages and coordinates internal communication with respect to contractual arrangements and information with appropriate departments within Harvard Vanguard Medical Associates.
• Develops and maintains contract administration and compliance function.
• Monitors and evaluates service delivery and patient / member complaints involving contracted providers / health plans.
• Serves as contracting committee member on cross-functional teams / meetings as assigned by Vice President.
• Performs all job functions in compliance with applicable federal, state, local and company policies and procedures.

Non-Essential Functions

Performs other duties as needed. Any other duties performed which are not listed above are considered non-essential functions.

Minimum Requirements

Education : BA / BS (or equivalent education, training, or experience) with an MBA / MPH / MHA desired.

Skills and Experience : Skills and experience typically acquired through 7-10 years professional experience, with 5-7 years in the managed healthcare environment. Multiple setting experience is preferred (i.e., health plan and provider experience). Excellent communication and relationship building skills required as well as contract negotiation. Project management experience is desired. Ability to work independently and at all levels within an organization (internal and external).

Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of Atrius Health will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital / domestic partner status, parental status, sexual orientation and gender identity and / or expression, or other dimensions of diversity.

Benefits Include :

• Up to 8% company retirement contribution,
• Generous Paid Time Off
• 10 paid holidays,
• Paid professional development,
• Generous health and welfare benefit package.