What are the responsibilities and job description for the Healthcare Network Contract Manager (Hybrid - Detroit) - Mosaic Clinically Integrated Network (CIN) position at Detroit) - Mosaic Clinically Integrated Network (CIN) - Henry Ford Health - Careers Careers?
Mosaic Clinically Integrated Network (CIN) is a Henry Ford Health company and is a leading value based care network, leveraging data and clinical tools to drive performance. To learn more visit: www.MosaicCIN.org
GENERAL SUMMARY:
Under minimal supervision, the Network Contract Manager oversees the tracking and management of value-based contracts within the Clinically Integrated Network (CIN). Responsible for ensuring the accuracy and timeliness of contract information, engaging with leadership for negotiations, and collaborating with stakeholders to monitor and report contractual terms. This role is essential in maintaining compliance with regulatory requirements and supporting the continuous improvement of Network contracting processes.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
Reviews, revises, and provides feedback from initial contract draft through execution of the agreement. Maintains an organized library of contracts and policies, ensuring all information is accurate and timelines are adhered to following execution.
Ensures timely engagement of network leadership ahead of payor negotiations or renegotiations, ensuring all contractual elements are prepared, reviewed, and revised.
Assists with the scheduling, coordination, and execution of tasks for payor negotiation meetings, governance committees, and administrative meetings.
Organizes and leads internal contract review meetings, including scheduling, preparing agendas and content, leading discussions, and capturing accurate minutes.
Prepares and delivers written reports and presentations to leadership, administrative staff, committees, and the Board as required.
Proactively keeps current with all regulatory requirements related to value-based contracting and ensures that all administrative requirements are accurately tracked to meet deadlines.
Builds and maintains collaborative relationships with internal and external stakeholders, facilitating effective communication and cooperation. Routinely collaborates with corporate departments including Managed Care Contracting/ Revenue Cycle.
Collaborates with leadership and staff to collect, synthesize, and package outcome metrics related to clinical, quality, and financial targets as outlined in contracts.
Supports the development and execution of formal, internal, periodic reviews of contracts and policies to ensure ongoing compliance. Works with Network Finance to prepare and execute financial assessments, including fee schedule analysis.
Utilizes appropriate databases and project management tools to track and facilitate the timely completion of contractual requirements, including documentation, agreement execution, and review.
EDUCATION/EXPERIENCE REQUIRED:
· Bachelor’s degree in Business Administration, Healthcare Administration, or similar field required.
· Three (3) years of healthcare industry experience, preferably in managed care, or Accounting, Finance, Payor Contracting, Revenue Cycle, or related field.
· Proven experience in project management, preferably within a healthcare or clinically integrated network setting.
· Strong understanding of managed care contracting language, value-based terms, and regulatory requirements.
· Excellent organizational and planning skills with the ability to handle multiple projects and timelines.
· Proficiency in using project management tools, expert knowledge level of Microsoft Suite products (Word, Excel, PowerPoint, Outlook, Visio).
· Ability to build effective relationships with diverse stakeholders.
· Strong analytical skills, effective problem-solving, and attention to detail.
CERTIFICATIONS/LICENSURES REQUIRED:
- Must meet or exceed core customer service responsibilities, standards and behaviors as outlined in the Henry Ford Health Customer Service Policy
- Must practice the customer skills as provided through on-going training and in-services.
PHYSICAL DEMANDS/WORKING CONDITIONS:
Normal office environment with minimal exposure to noise, dust, or extreme temperatures.