Network Management & Contracting, Hospital Contract Manager

At MVP Health Care, were on a mission to create a healthier future for everyone which requires innovative thinking and continuous improvement. To achieve this, were looking for a Network Management & Contracting, Hospital Contract Manager to join #TeamMVP. If you have a passion for healthcare, building and optimizing provider networks, and negotiation and strategic partnerships this is the opportunity for you.

• Growth opportunities to uplevel your career
• A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
• Competitive compensation and comprehensive benefits focused on well-being
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District , one of the Best Companies to Work For in New York , and an Inclusive Workplace .

Qualifications youll bring:

• Bachelors Degree preferred; equivalent experience may be substituted if the candidate can demonstrate significant relevant work experience.
• Minimum of 5 years in health insurance or equivalent experience in Finance or Project Management
• Strong proficiency in problem solving and analysis
• Demonstrated ability to interact with all levels of management
• Adaptability and flexibility in a changing environment required
• Ability to use Microsoft Office and Power Point
• Proficiency in Excel. Must be able to manipulate pivot tables, utilize mathematical formulas, filter data, etc.
• Excellent organization and time management skills
• Excellent presentation skills
• Excellent follow up skills
• Excellent verbal and written communication skills
• Proficiency in financial impact analysis
• Curiosity to foster innovation and pave the way for growth
• Humility to play as a team
• Commitment to being the difference for our customers in every interaction

Your key responsibilities:

• Coordinates with Analytics Team to generate performance reporting and associated financial models.
• Assists Leaders in leveraging of competitive transparency data during contract negotiation and annual performance reviews.
• Assists with developing contract documents for renewals and/or amendments in compliance with company templates, reimbursement structure standards and other key process controls.
• Supports the business relationships with Hospital, Physician and Ancillary Facilities.
• Ensures the smooth operation and administration of provider agreements.
• Maintains an inventory of contracts, due dates, term clauses/end dates, spend and services by LOB.
• Requests necessary data analytics from Informatics to support key business objectives and product objectives where contracting is involved.
• Keeps and maintains necessary database trackers and a tracking system for department and MVP report outs.
• Processes forms, tracks and scans signed/executed agreements and amendments.
• Coordinates and leads regularly scheduled meetings with key hospital systems.
• Serves as the primary point of contact for day-to-day issues such as payment issues, authorization issues and contractual language interpretation disputes.
• Participates in meetings and supports successful implementation for assigned projects using good judgement and decision making.
• Ability to maintain confidentiality and adhere to regulatory compliance issues as they exist and change from time to time.
• Proactive in identifying areas for efficiency improvement across all of Network Management; consistently challenges the status quo in favor of incremental improvement opportunities that could be achieved through new methods.
• Performs other related duties as assigned.
• Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.

Where youll be:

Hybrid in Fishkill, NY or Schenectady, NY

Pay Transparency
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.

We do not request current or historical salary information from candidates.

MVP's Inclusion Statement
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.

MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.

To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at [email protected] .

• Job Family Network Management & Development
• Pay Type Salary
• Min Hiring Rate $56,200.00
• Max Hiring Rate $97,750.00