3 Provider Contract Specialist Jobs in Southfield, MI
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Corewell Health Corporate is Hiring a Provider Contract Specialist Near Southfield, MI
- Contributes to the contract development and negotiation process for provider network initiatives. Enters/maintains current information in the internal contract repository and enters contracts and contract information in the system contract database.
- Provide effective oversight of contract implementation process ensuring all contracts are within required guidelines and financial parameters. Renegotiate contracts within specific provider types under predetermined payment parameters.
- Manages contract review process to ensure delivery against objectives and contractual budgets; develops regular reports on contract milestones and performance; and informs internal customers, suppliers and management of activities and progress, through both verbal and written communications. With manual supervision acts as the principle contract negotiator for all assigned contracts.
- May support management in codifying contract terms for more complex contracts. Identifies barriers and opportunities in contracting with ability to articulate these obstacles to management for support as needed.
- Works with and involves relevant stakeholders (internal customers) as needed in negotiation decisions impacting legal or regulatory requirements, contract standards, cost targets and payment and pricing methodologies. Facilitate contract implementation processes with the PIM team including payment rates, PFP/PHO groupings, risk pool assignment, administration and other feels. Work collaboratively with PIM and others internal staff to find solutions to provider issues concerning payment and operating procedures with necessary.
- May be responsible for implementation of network expansion plans and individual physician recruitment within an assigned geographic area.
- Creates a customer-focused, service-based approach to working with stakeholders and suppliers, which emphasizes the creation and cultivation of cross-organizational relationship.
- May represent contracting and external meetings and Joint Operating Committee meetings. Interface routinely with physician practices managers and group administrators.
- Required Bachelor's Degree or equivalent
- 2 years of relevant experience related field Required
- 5 years of relevant experience negotiating and managing contract lifecycles on behalf of either their part payer or health care providers Required
- knowledge of CMS and commercial pricing practices and methodologies Preferred
- Knowledge of best practices for contract negotiation tactics and strategies Preferred
- Working knowledge of anti-trust laws preferred
- Provider reimbursement experience preferred
- Contract and negotiations experience preferred
- Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs
- Waist to Waist > 5 lbs: Seldom up to 10 lbs
- Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
- Waist to Overhead > 5 lbs: Seldom up to 10 lbs
- Bilateral Carry > 5 lbs: Seldom up to 10 lbs
- Unilateral Carry > 5 lbs: Seldom up to 10 lbs
- Pushing Force > 5 lbs: Seldom up to 10 lbs
- Pulling Force > 5 lbs: Seldom up to 10 lbs
- Sitting: Frequently
- Standing: Occasionally
- Walking: Occasionally
- Forward Bend - Standing: Seldom
- Forward Bend - Sitting: Occasionally
- Trunk Rotation - Standing: Seldom
- Trunk Rotation - Sitting: Occasionally
- Reach - Above Shoulder: Seldom
- Reach - at Shoulder or Below: Seldom
- Handling: Occasionally
- Forceful Grip > 5 lbs: Seldom
- Forceful Pinch > 2 lbs: Seldom
- Finger/Hand Dexterity: Frequently
Primary Location
SITE - American Center - 27777 Franklin Rd - SouthfieldDepartment Name
PH - Provider ContractingEmployment Type
Full timeShift
Day (United States of America)Weekly Scheduled Hours
40Hours of Work
8 a.m. to 5 p.m.Days Worked
Monday to FridayWeekend Frequency
N/ACURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
Job Summary
Full Time
$96k-125k (estimate)
04/15/2024
04/28/2024
The job skills required for Provider Contract Specialist include Contract Management, Negotiating, Contract Review, Pricing, Contract Negotiation, etc. Having related job skills and expertise will give you an advantage when applying to be a Provider Contract Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Provider Contract Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Provider Contract Specialist positions, which can be used as a reference in future career path planning. As a Provider Contract Specialist, it can be promoted into senior positions as a Contracts Administrator V that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Provider Contract Specialist. You can explore the career advancement for a Provider Contract Specialist below and select your interested title to get hiring information.
