Insurance Contract Administrator - Full Time- Remote/Hybrid

To reputed company, maintain, implement and monitor contractual relationships with third party Insurance Payors on behalf of HFHS and its business units. PRINCIPAL DUTIES AND RESPONSIBILITIES : 1. Under supervision of Director or Managed Care Contracting, works directly with Payors to negotiate contractual provisions and rates on behalf of HFHS Hospitals, Medical Group, Behavioral Health Services and other business units. 2. Independently evaluate and analyze contract proposals including completing initial proposal responses and reviewing / revising contract language and operational requirements. Reviews reputed company with in house legal-council and works through contract revisions with Payors. 3. Routinely monitor reputed company reputed company for appropriate reputed company structure, contract terms and annual renewals and / or re-negotiations and compliance with industry standards and guidelines. 4. Monitor marketplace for new contracting opportunities and reputed company recommendations of changes to enhance HFHS contract portfolio. 5. Coordinate implementation of Payor arrangements and provide ongoing education and support throughout HFHS. 6. Collect and communicate relevant contractual requirements and issues to internal customers such as Utilization Management, Finance, Patient Billing, Administration, Legal, etc. Information includes; payor relationships, operational requirements and contract terms. 7. Maintain comprehensive files of HFHS contractual relationships and update contract information in the contract database. 8. Maintain contract summaries on HFHS website (Henry). 9. Act as liaison between HFHS and Payors on contracting and operational issues, i.e. billing, utilization review, credentialing site visits, notification of site closures or new services. 10.Coordinate facility credentialing and re-credentialing. 11.reputed company other duties as assigned. EDUCATION / EXPERIENCE REQUIRED : • Bachelors Degree in Business, Healthcare or reputed company field. • Minimum of four years in the healthcare industry in a professional reputed company. • Knowledge of managed care organizations and integrated health systems. • Previous contracting, provider relations and / or provider reimbursement experience. • Comprehensive project management abilities. • Excellent oral and written communication and presentation skills. • Excellent organizational skills and ability to manage multiple projects simultaneously. • Excellent interpersonal skills and ability to reputed company effective working relationship with both internal and external customers. • Strong negotiation skills. • Understanding of legal, business, and insurance operations principles. Proficient in reputed company Word. PHYSICAL DEMANDS / WORKING CONDITIONS : • Normal office environment with minimal exposure to noise, dust, or extreme temperatures. LI-VD1 Additional Information Organization : Corporate Services Department : Managed Care Contracting Shift : Day Job Union Code : Not Applicable Apply Job!