Payer Contracting Manager

Payer Contracting Manager

About Us
What does it mean to be a part of Intermountain Healthcare? It means that the quest for clinical excellence is not just a goal, but a given. It means building an environment where physicians and employees can deliver the best in medicine. And it’s realizing each employee or volunteer is vital to the healing process, because we can only achieve the extraordinary together. 

Being a part of Intermountain Healthcare means joining with a world-class team of over 32,000 employees and embarking on a career filled with opportunities, strength, innovation, and fulfillment. Our mission is: excellence in the provision of healthcare services to communities in the Intermountain region.

Our patients deserve the best in medicine, and we deliver.

Job Description

This position is responsible for the effective management of contractual associations with payers.  The manager is the liaison between Intermountain Healthcare and the payer and works to establish genuine, sincere and long-term business relationships with payers.  The manager is the strategic lead on the account and must continually assess and evaluate the association and suggest opportunities to refine and improve the relationship.  The manager must ensure that contract language that is agreed to is consistent with what other payers have been offered and that it does not pose significant financial, legal, administrative or political risk for Intermountain Healthcare.

Job Essentials:

• Establishes and Maintains effective long-term Payer Associations
• Manages Contractual Associations: Ensures that all contracts are properly drafted and executed and that terms and conditions are fair and consistent with other payers  
• System Coordination and Networking: Coordinates with all impacted areas of the Intermountain Healthcare system to advise affected divisions regarding the impacts of payer contracts
• Contract / System Expertise:  Possesses a working knowledge of the contracting process between Intermountain and payers
• Strategic Vision:  Performs strategically assessment of the healthcare market; Identifies risks and opportunities for Intermountain and makes strategic proposals to further Intermountain’s strategic standing in the market
• Creates effective contract language and other documents by concisely and effectively communicating in written and verbal mediums to various large and small committees and groups, internally and externally; Synthesizes complex topics and summarizes them into concise presentations without compromising material details

Minimum Requirements

• Bachelor’s Degree;  Eduction is verified and degree must be obtained through an accredited institution

• Seven years professional experience in a role requiring extensive writing, analysis, contract management, customer service project management, negotiation and making presentations

• Five years 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

• Two years experience in the health care industry or health insurance industry

• Experience using word processing, spreadsheet, database, internet and e-mail and scheduling applications

• Experience in a professional role requiring effective verbal communication to present advanced topics in a clear, concise, polished and professional manner

• Ability and willingness to travel to conduct negotiations, investigate opportunities and further associations with contracted payers

Physical Requirements

• Seeing, speaking, hearing / listening, manual dexterity

Preferred Qualifications

• Experience in corporate/legal setting

• Experience using medical terminology

• HIAA I & II Certification

Please Note
All positions subject to close without notice
Intermountain Healthcare is an equal opportunity employer M/F/D/V