Contracting Program Manager

Contracting Program Manager

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.

Position Summary :

Partner with the Executive Director, Contracting to manage key divisional initiatives that support Managed Care Contracting. The Contracting Program Manager will be responsible for managing projects, organizing and maintaining contract inventory, and understanding key timelines and obligations within contracts to serve as the operational backbone for Managed Care Contracting. This position is responsible for aggregating relevant contract information to support new system initiatives; such as, licensing projects, new service lines and locations, and provider additions to BILHPN. This will involve high levels of collaboration, integration, and communication across the Performance Network.

Essential Duties & Responsibilities including but not limited to :

• Implement and manage projects and performance improvements initiatives to drive contracting efficiency and to meet all obligations within-force contracts
• Develop, maintain, and advance all divisional resources which includes training needs, team SharePoint and drives, documentation needs with workflows, and resources for Contracting divisional customers.
• Coordinate various divisional training needs, including but not limited to, leading or facilitating trainings through team SME's with supportive documentation
• Compile and disseminate contract updates with collaboration from the BILHPN Payor Optimization team, including facilitation of internal communication
• Create processes and workflows to support program / project management lifecycle for the division
• Supports BILHPN payor optimization and contracting teams with communication needs
• Partner with the team to identify and investigate opportunities to streamline work
• Collaborate with BILHPN departments and Provider Organization leaders to continually improve the understanding of contracts and contracting initiatives
• Evaluate and create action plans to optimize, refine, or integrate technological solutions / functionality, including AI, where applicable
• Support and troubleshoot any issues related to contracting projects / programs, maintaining a risk and issue log for each project
• Facilitates discovery and continuous improvement discussions with applicable stakeholders to incorporate into projects and programs as necessary
• Develop and maintain connections with vendors, where applicable, and other organizations to incorporate necessary discoveries into planning and strategies
• Assists in the communication of initiatives within the division to local leaders, administrators, support staff, and providers
• Build and maintain working relationships with internal teams, administrators, vendors, revenue cycle, payors, practice operations, and provider community to foster collaboration and partnership in driving meaningful change within contracting

Organizational Requirements :

Maintain and adapt systems and processes to effectively coordinate Managed Care contracting priorities Maintain strict adherence to all BILH and BILHPN Policies. Maintain courteous and effective interactions with colleagues, providers and stakeholders.

Demonstrate an understanding of the job description, performance expectations, and competency assessment. Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to customer service standards. Participate in departmental and / or interdepartmental quality improvement activities. Participate in and successfully completes Mandatory Education. Perform all other duties as needed or directed to meet the needs of the department.

Minimum Qualifications :

Education : A Bachelor's Degree in Healthcare Management, Administration, Public Health, Business Administration, or other related functional area is required. A Master's Degree in healthcare or business-related field is preferred.

Licensure, Certification & Registration : N / A

Experience : Minimum 3-5 years of program or project management, system implementation, or clinical operations experience in a healthcare setting required. Understanding of project management and process improvement strategies Strong organizational skills and the ability to articulate complex workflows and processes Experience with navigating complex programs and projects Ability to work with data analysts and communicate needs Excellent communication skills, both written and verbal Understanding of value based care

Skills, Knowledge & Abilities :

Microsoft Word, Excel, Powerpoint, SmartSheet (preferred)

Key Relationships : 1 BILHPN Ops Teams

2 BILHPN Clinical Excellence Teams

3 Provider Organization leaders.

4 Vendor Contacts (as applicable)

5 Providers

6 HMFP Leaders

7 BILH Revenue Cycle

8 APG Leaders

9 BILHPC Leaders

10 Care Retention & Access Leaders

Scope / Impact Statement :

Work Schedule : Indicate either Yes or No as appropriate. Hours of work may be subject to change based upon the needs of the business / department.

On Call : No Shift Rotation : No Weekends : No

Physical Requirements & Environment : Required

For each category, select ONE option from choices below by placing an X in the space to the left of the entry.

Mental and Visual Attention Required

a) The position requires basic mental and visual attention much or all of the time

b) X The position requires periods of concentrated mental and visual attention.

c) The position requires a high degree of mental and visual concentration.

Physical Exertion

Weight

d) X Nature of work requires lifting or moving light weight (up to 20 pounds).

e) Nature of work requires lifting or moving medium weight (over 20 and up to 75 pounds).

f) Nature of work requires lifting or moving heavy weight (over 75 pounds).

Dexterity

g) X Flow of work and character of duties require average manual coordination.

h) Flow of work and character of duties require above average manual coordination.

i) Flow of work and character of duties require high manual coordination.

Range of Motion

j) X Duties require average range of motion.

k) Duties require above average range of motion.

l) Duties require high range of motion.

Physical Conditions

m) Performance of duties allows for variation in positioning and tasks.

n) X Performance of duties requires remaining in position for prolonged periods of time.

Repetitive Motion

o) Assignments require occasional repetitive motion.

p) X Assignments require frequent repetitive motion.

q) Assignments require constant repetitive motion.

Working Conditions

r) X Working conditions include minimal exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens.

s) Working conditions include occasional exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens.

t) Working conditions include continuous exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens.

Exposure to Hazardous Materials

u) X Performance of duties generally does not involve exposure to hazardous materials.

v) Performance of duties occasionally involves exposure to hazardous materials.

w) Performance of duties frequently involves exposure to hazardous materials.

Patient Care Conditions (select ALL that are applicable)

x) Position entails exposure to blood and body fluids, standard precautions must be used.

y) Assignments include transporting, transfer and positioning of patients.

z) Incumbent must be continuously prepared to prevent a patient fall.

Sensory Requirements (select ALL that are applicable)

aa) Performance of duties requires the ability to discern and identify colors

bb) Performance of duties requires the ability to discern sharp from dull and hot from cold

cc) Performance of duties requires the ability to hear soft and loud noises

Patient Care / Patient Contact Designation (check only one of the items listed below)

_ Position has a direct impact upon health outcomes of the patient.

_ Position facilitates the process that may impact patient access to services.

X No patient care / contact, and does not facilitate the patient care process or directly impact health outcomes.

This Job Description is intended to describe the general nature and level of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive list of all responsibilities, requirements, duties and skills required of personnel so classified. Additional duties and responsibilities that are specific to the Department or Unit are identified and maintained by the Manager as an Addendum to the