Top 3 Senior contract administrator Jobs in Harrisburg Pa

Payor Contract Negotiator Senior
Wellspan Health —York, PA
- Full-time
- Data analysis skills
- Research
- Finance
- Paid parental leave
- Health insurance

Other jobs to consider

Find your next job by exploring related positions.

Data Platform Architect
Brooksource —Harrisburg, PA
The Data Platform Architect will define platform architecture, establish engineering and security standards, develop reusable cloud capabilities, and partner…
Up to $130 an hour
Quick Apply
5d
Sr CRM Data Migration Developer & Jr CRM Data Migration Developer
Intone Networks —Harrisburg, PA
Any Visa’s can work Candidates must be in the United States and willing to travel occasionally for periodic team meetings to Harrisburg, PA.

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Contracts Analyst Senior
ENGIE —Columbus, OH
Build and maintains relationships with construction contractors, qualified equipment vendors, suppliers, and design/engineering firms.
$88,800 - $136,045 a year
Senior Subcontracts Representative
Battelle —Columbus, OH
Bachelor's degree and five years of relevant experience, or an equivalent combination of education and experience in a related field.
$66,500 - $94,800 a year

I want to receive the latest job alert for senior contract administrator in harrisburg pa

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

senior contract administrator jobs near harrisburg pa

It Contract jobs in Atlanta, GA

Contract Negotiator jobs in Alaska

Contract Negotiator jobs in Texas

Contract Negotiator jobs in Jacksonville, FL

Technical Program Manager Contract jobs in San Jose, CA

Contract Negotiator jobs in Scottsdale, AZ

Payor Contract Negotiator Senior

Wellspan Health -
York, PA

Apply Now

Job Details

Full-time

Benefits

Paid parental leave
Health insurance
Paid time off
Parental leave
Retirement plan

Qualifications

Finance
Data analysis skills
Research
Finance
Bachelor's degree
Healthcare financial management
Computer skills
Healthcare reimbursement methods

Full Job Description

General Summary

Manages large third-party payor contract negotiations (such as Medicaid) to ensure fair/adequate payment rates and methodology, and acceptable and manageable operational terms as well as, memorializing such terms into the written payor agreement. Assures payor compliance with contract financial terms. Works independently and exercises independent judgment and discretion. Works collaboratively with strategic WellSpan Health Payors.

Duties and Responsibilities

Essential Functions:

Supports professional and collaborative relationships with Payors and team members.
Manages active contract negotiation processes to ensure System contracting terms are adequately addressed, and the administrative process is controlled effectively on behalf of the Health System.
Manages assigned payor book of business including, but not limited to, Commercial, Medicare Advantage, Medicaid for both PA and MD based providers.
In conjunction with Business Manager and operational staff, analyzes financial impact of contract reimbursement, policy, or language changes/initiatives. Negotiates with payors to resolve via rate or language updates.
In conjunction with Director of Payor Contracting, assures that proposed, new and/or changed contractual programs are attainable within the organization, the contract language accurately memorializes the agreed upon terms and appropriate WellSpan Health personnel is educated on the new or changed programs.
Maintains knowledge of industry accepted contractual arrangements, financial opportunities, operational challenges, and other payor initiatives, including but not limited to State and Federal MCO regulatory programs.
Participates in the strategic improvement of payor contracts as part of the Contract Integration Team and at times with Chief Clinical Directors, Directors of Quality, Administrative Vice Presidents, Quality and Clinical Improvement Managers, Ancillary and Hospital Leadership and Payors.
Monitors and maintains knowledge regarding market activities and changes related to health insurance plans, programs, and regulations.
Researches and reports on specific requests, as assigned.
Participates in annual education, committees, and educational offerings.
Participates, and in some cases, manages WellSpan Health’s third-party facility, ancillary, behavioral health, hospice, and dental payor contract negotiations to ensure fair/adequate payment rates & methodology, and acceptable and manageable operational terms as well as, memorializing such terms into the written payor agreement.
Works independently and exercises independent judgment and discretion.

Common Expectations:

Continuously assesses Payor performance. Maintains appropriate quality control/assessment programs (if applicable).
Enhances professional growth and development through participation in educational programs, current literature in-service meetings, and workshops.
Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation. Works well in teams.
Participates in and continuously assesses and improves the department/service line/entity/System’s performance.
Presents strong negotiation and presentation skills.

Travel Requirements:

Estimated Amount: 10% - Local and regional travel

Qualifications

Minimum Education:

Bachelors Degree Finance, Accounting, Management and/or Health Care Administration Required
Masters Degree Management, HealthCare Administration, Finance, Payor Relationships Preferred

Work Experience:

3 years Working knowledge of Health System Revenue Cycle operations and payment methodologies and overall understanding of various aspects of health care financing. Required
5 years Healthcare reimbursement, third party payor negotiation/operations or regulatory experience Preferred

Courses and Training:

Finance, Data Analysis, Contract Negotiation Upon Hire Required

Knowledge, Skills, and Abilities:

Excellent written and oral communication skills.
Interpersonal and computer skills.
Analytical, negotiation, and project management skills.
Able to work well in a team.

Benefits Offered:

Comprehensive health benefits
Retirement savings plan
Paid time off (PTO)
Education assistance
Financial education and support, including DailyPay
Expanded Paid Parental Leave

For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)

Apply Now

Refine Your Search

senior contract administrator jobs in harrisburg pa

Payor Contract Negotiator Senior

Other jobs to consider

Explore jobs in cities nearby

I want to receive the latest job alert for senior contract administrator in harrisburg pa

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected