Mgr Contracting

Overview

Accountable for performing managed care contract negotiations in a timely and effective manner for hospital, physician and the full continuum of services provided by the Fairview system and affiliated providers. Responsible for the appropriate application of underwriting principles in developing recommendations and strategies for rate setting and accepting appropriate levels of financial risk. Maintains effective working relationships with payors, delivery system and affiliated physician network representatives. Ensure negotiated terms and conditions are accurately communicated within Fairview and its' partners.


Responsibilities

• Strategic Planning: Develop goals, measurable objectives and action plans related to managed care contract negotiations for services provided by the Fairview System and affiliated providers, in alignment with Fairview’s financial and operational strategic priorities.
• Department Operations: Participates in planning and providing guidance and support to the processes of the department to ensure customer needs are met in an efficient, effective and timely manner.
• Communication: Responsible for communication within the department and across the Finance Division and Fairview to ensure that information is shared in a timely, open and honest manner that promotes effective and efficient operations and positive interpersonal relationships.
• Problem Solving: Demonstrates ability to identify, analyze and prioritize problems. Demonstrates ability to develop creative solutions/options in both routine and urgent situations. When developing options, recognizes the impact on other departments within the Finance Division and Fairview.
• Leadership: Demonstrates ability to influence key Revenue Management interfaces including health plan representatives, Fairview Finance Division ad Delivery system leadership and affiliated provider representatives.
• Financial Management: Identify and establish process improvement efforts related to creating consistency in financial performance reporting across Fairview Accounting, Reimbursement, Finance and Delivery system departments.
• Teamwork and Conflict Management: Works and collaborates with others to continuously improve the effectiveness of systems and processes related to payor relationships, customer service and care delivery. Handles conflict calmly and effectively using a positive non-threatening approach.

Required Qualifications

• Bachelor of Arts in business, accounting or related field (or 6 years of equivalent work experience)
• 5 years equivalent work experience (in addition to the 6 years in lieu of education)
• 5 years experience in healthcare with some managerial responsibilities (in addition to the 6 years in lieu of education)

Preferred Qualifications

• MBA, MHA or related
• 5 years managed care payor relations experience or network relations
• Strong understanding of health care reimbursement methodologies

Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link foradditional information: https://www.fairview.org/careers/benefits/noncontract

The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.

Salary : $102,149 - $144,227