Emory Healthcareposted 25 days ago
Mid Level
Atlanta, GA
Hospitals

About the position

At Emory Healthcare, we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide comprehensive health benefits that start day 1, student loan repayment assistance & reimbursement programs, family-focused benefits, wellness incentives, ongoing mentorship, development, and leadership programs, and more.

Responsibilities

  • Independently assesses, analyzes, and negotiates payer contracts for all hospital and professional entities within Emory Healthcare (EHC).
  • Manages information for loading and maintaining payer contracts in EHC decision support systems.
  • Implements new contracts, amendments, and business process modifications.
  • Manages provider service relationships for assigned payer organizations and assigned EHC provider entities, by managing contract interpretation for operational issues and problem resolution.
  • Determines and manages revenue enhancement opportunities for EHC entities through enhanced contract management.
  • Manages the balance of contract negotiations and provider service interests through dual responsibility.
  • Performs other related duties as required.

Requirements

  • Bachelor's degree required.
  • Master's degree preferred.
  • Four years experience required, but prefer seven years of healthcare related experience, preferably in a complex Provider or Payer managed care organization.
  • Demonstrates innovative and critical thinking with creative approaches to problem solving.

Benefits

  • Comprehensive health benefits that start day 1
  • Student Loan Repayment Assistance & Reimbursement Programs
  • Family-focused benefits
  • Wellness incentives
  • Ongoing mentorship, development, and leadership programs
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