Senior Contract Specialist

Career Opportunities : Senior Contract Specialist (24625)verp-client : SMRF Globalsfunction(w){function set(k,v){Object.assign(k'window'?w : (w[k]=w[k]{}),v)}set("DEPSVERSIONMAP",{" / ui / juic / css / components / sfScrollBox.css" : " / verp / vmodv1 / ui / juic / css / components / sfScrollBox334cabf19d0d055e39c6c2ecebf861bb.css"," / ui / juic / js / components / sfCaretUtil.js" : " / verp / vmodv1 / ui / juic / js / components / sfCaretUtil52d1c903c07f0a7e4be06d3c1af8798d.js"," / ui / sfgrp / js / juicPopupsV12.js" : " / verp / vmodv1 / ui / sfgrp / js / juicPopupsV12e33c608a67c593d64baf241b9f7b9bc1.js"})set("IMAGES",{" / ui / uicore / img / icocloseblue16.gif" : " / ui / uicore / img / icocloseblue1635a80df8699645a1adeebf8da8140e79.gif"," / ui / uicore / img / icoprinter16.gif" : " / ui / uicore / img / icoprinter16e79d7fee413ea51ea449e1e5f76766d1.gif"})set("MSGS",{ADDANOTHERANSWER : "Add another answer",ADMINV2TEXTERRMSG : "Please enter a value.",ANSWERRANGE : "Answer Range : ",APPLSEARCHERRORPOSTEDWITHININVALID : "Posted within the last N days should be a number between 0 and 99.",APPLSEARCHERRORREQNUMBERINVALID : "Invalid Requisition Number",APPLSEARCHERRORREQNUMBERINVALIDLENGTH : "Requisition Number should be less or equal to 10 digits.",APPLSEARCHREQNUMBERMAXLENGTH : "10;",COMMONACTIONS : "Actions",COMMONATTACHMENTACTIONITEM : "Item : ",COMMONATTACHMENTACTIONITEMLABEL : "Item",COMMONATTACHMENTINTERNALERROR : "Internal attachment processing error.",COMMONATTACHMENTNOTAVAIL : "The attachment file is not available at this time. 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Ex : A search for u201cManageu201d will return u201cmanage, manager, managementu201d etc.To find an exact phrase, surround your search phrase with double quotes (u201d u201c). Ex : u201csenior manageru201d, or check u2018Exact matchu2019.Advanced search : n nUse AND, OR, NOT, and () to combine search terms. Ex : Sales AND engineerfinds only jobs that have both terms. nSales OR engineerfinds all jobs that have either.n (Sales AND Engineer) NOT Managerfinds jobs that contain both u201cSalesu201d and u201cEngineeru201d but not u201cManageru201d.Use question mark (?) for an unknown letter. Ex : Thomps?n finds Thompson, Thompsen, Thompsan, etc.Use tilde () to find similar spellings. Ex : roam finds roam, roams, room, road, roads, etc.Do not use advanced search options if you have checked u2018Exact matchu2019.RECRUITINGJOBREQANSWERRANGEINPUTFIELD : "Answer Range input @? has been deleted",RECRUITINGJOBREQANSWERRANGEINPUTFIELDDELETED : "Answer Range input field is deleted.",RECRUITINGJOBREQAUTOCLOSECONFIRM : "When you complete this action, no openings will remain for this job requisition, and the job requisition will be closed. Do you want to proceed?",RECRUITINGJOBREQAUTOCLOSEINVALIDOPTIONCOFIG : "The requisition cannot be closed because the system administrator has not specified a valid default requisition closed status. Please notify your system administrator.",RECRUITINGJOBREQAUTOCLOSEWITHPENDINGAPPROVALCONFIRM : "When you complete this action, no openings will remain for this job requisition, and the job requisition will be closed. Closing the job requisition will also move the pending offers to the Cancelled status. Do you want to proceed?",RECRUITINGJOBSEARCHHELPTEXTARIALABELACCESSIBLE : "Show help text. Switch to Virtual PC Cursor mode to read entire text.",RECRUITINGPRINTCOVERLETTERMENU : "Print cover letter",RECRUITINGPRINTRESUMEMENU : "Print Resume",RECRUITINGPrintAllResumes : "Print all resumes",RECRUITINGPrintResume : "Print Resume",RECRUITINGRATINGSCALECLICKTOEDITDESCRIPTION : "RECRUITINGRATINGSCALECLICKTOEDITDESCRIPTION",RECRUITINGRATINGSCALECLICKTOEDITNAME : "Rating Scale name. To edit press Enter",RECRUITINGRATINGSCALECLICKTOEDITVALUE : "Rating Scale value. 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Itu2019s duplicated with {0} other statements. Please modify the statement to avoid duplication. You can activate the statement when itu2019s not duplicated with previously defined statements.",COMMONDPCS2ACTIVEERRMSGSINGLE : "The statement was not activated. Itu2019s duplicated with another statement. Please modify the statement to avoid duplication. You can activate the statement when itu2019s not duplicated with previously defined statements.",COMMONDPCS2Actiondeclineaccept : "Use this page to accept or decline a statement on behalf of a user.",COMMONDPCS2AddLang : "Add Language",COMMONDPCS2All : "All",COMMONDPCS2AllCountries : "All Countries / Regions",COMMONDPCS2Assigned : "Assigned",COMMONDPCS2AssignedCountry : "Assigned Countries / Regions",COMMONDPCS2Choosetoaccept : "You are choosing not to accept the statement terms and will be automatically blocked from using the system until you accept the statement terms.Are you sure you want to continue?",COMMONDPCS2Countries : "Countries / Regions",COMMONDPCS2DELConfirm : "You are about to delete the {0} translation for this statement. 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You wonu2019t be able to access the account until the privacy statement is read and accepted by the user.",RECRUITINGREVOKEMSGEXTERNAL : "All your information will be removed and you will be withdrawn from any jobs you applied to.",RECRUITINGREVOKEMSGINTERNAL : "All information you entered in the careersarea will be removed and you will be withdrawn from any jobs you applied to.",RECRUITINGREVOKEWARNINGEXTERNAL : "Warning! This action will permanently delete your account.",RECRUITINGREVOKEWARNINGINTERNAL : "Warning! This action will permanently delete your job candidate profile.",RECRUITINGRTEERRORSELECTFIELD : "Please select a field to insert."})set("RESOURCES",{" / ui / dpcs / js / ckeditor / ckeditorconfigdpcs.js" : " / ui / dpcs / js / ckeditor / ckeditorconfigdpcs213fde74e880033785d2b9603a1299b5.js"})}(window)set the current state so when the form is submit for lang changed, it keep the same state. setField('careerns', 'joblisting'); chain(window, "onload", function() { var saveRedirected = document.getElementById('joblistjobSaveRedirect').value;var applyRedirected = document.getElementById('joblistjobApplyRedirect').value; var isApplyViaLinkedIn = false; isApplyViaLinkedIn = document.getElementById('isApplyWithLinkedIn').value; if (saveRedirected == 'saveRedirected') { var url = " / rcmcjsup?m=saveJobReq&company=C0007187026P&sr=true&"; url += "careerjobreqid=" + 24625; url += "&careerjobreqseckey=" + document.getElementById('careerjobreqseckey').value; if (submitExternalAjaxQuery(url, ' / career?company=C0007187026P&loginFlowRequired=true&lang=enUS')) { alert(items.updatemsg); return true; } setField('joblistjobSaveRedirect', 'joblist' + 'jobSaveRedirect'); } if (applyRedirected =='applyRedirected') { var popup = new RCMExtDraftAppDialog('24625', '', isApplyViaLinkedIn); } }) function applyJobReq(isUserLoggedIn, jobReqId, jobReqSecKey, isApplyWithLinkedIn, elementId){ if (isUserLoggedIn == true isUserLoggedIn == 'true') { var popup = new RCMExtDraftAppDialog(jobReqId, jobReqSecKey, isApplyWithLinkedIn, elementId); } else { setField('joblistjobApplyRedirect', 'applyRedirected'); setField('careerjobreqseckey', jobReqSecKey); setField('careerjobreqid', '24625'); setField('navBarLevel', 'JOBSEARCH'); setField('careeros', 'joblisting'); setField('isApplyWithLinkedIn', isApplyWithLinkedIn); setFieldAndSubmit('careerns','jobsave'); } } function saveJobReq(isUserLoggedIn, jobReqId, jobReqSecKey) { var form = document.forms[0]; if (isUserLoggedIn == 'true') { var url = " / rcmcjsup?m=saveJobReq&company=C0007187026P&sr=true&"; url += "careerjobreqid=" + jobReqId; url = url + "&rcmsitelocale=" + "enUS"; url += "&careerjobreqseckey=" + jobReqSecKey; if (submitExternalAjaxQuery(url)) { alert(items.updatemsg); return true; } } else { setField('joblistjobSaveRedirect', 'saveRedirected'); setField('careerjobreqid', '24625'); setField('navBarLevel', 'JOBSEARCH'); setField('careeros', 'joblisting'); setField('careerns', 'jobsave'); setField('pvthashkey', ''); setField('pvthashvalue', ''); form.submit(); } } function JobListingDpcs2Handler(config) { RCMDpcs2Handler.call(this, config); } extend(JobListingDpcs2Handler, RCMDpcs2Handler, { accept : function(acceptJson) { var params = this.getConfig().params; proceedWithSaveApply(params); } }); function checkDpcs2AndProceed(params) { var isPublicIntranet = false; if(params.isUserLoggedIn){ checkDpcs2AcceptanceBeforeProceeding({ createDpcs2Handler : function(dpcs2AcceptedOrDeclinedStatusFromServer) { return new JobListingDpcs2Handler( {dpcs2AcceptedOrDeclinedStatusFromServer : dpcs2AcceptedOrDeclinedStatusFromServer, params : params}); } }, isPublicIntranet); } else { proceedWithSaveApply(params); } } function proceedWithSaveApply(params){ if(params.evtSrc == 'Apply') { applyJobReq(params.isUserLoggedIn,params.jobReqId, params.jobSecKey, params.isApplyWithLinkedIn, params.elementId); } else if(params.evtSrc == 'SaveJob') { saveJobReq(params.isUserLoggedIn,params.jobReqId, params.jobSecKey, params.saveRedirect); } } function showMFieldDialog(contextId,values, config){ if(!this.valueBubble){ this.valueBubble = new MultipleValueBubble(values); }else{ this.valueBubble.setValues(values); } if(!config) { / / default values config = { refocusId : contextId, closeOnEsc : true }; } SFInfoInContext.show(this.valueBubble,contextId, config); var focusElement = SFDom.getElementsByClassName("content", "", "sfOverlayMgr"); if(focusElement[0]) { focusElement[0].setAttribute("tabindex", "0"); focusElement[0].setAttribute("role", "note"); SFDom.setFocus(focusElement[0].id); } } function hideMFieldDialog(contextId){ SFInfoInContext.hide(contextId); } function handleKeyDown(contextId, values, evt){ var key = SFDOMEvent.getKeyName(evt); switch (key) { case "RETURN" : case "SPACEBAR" : SFDOMEvent.preventDefault(evt); showMFieldDialog(contextId, values, { refocusId : contextId, closeOnEsc : true }); break; } }Requisition ID 24625 - Posted10 / 21 / 2024 - CareOregon - Full Time - Permanent - Portland - Multi Location (18)Job Description Print PreviewApplySave JobEmail Job to FriendReturn to ListCandidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin.Job TitleSenior Contract SpecialistExemption StatusExemptDepartmentContract ManagementManager TitleValue Based Contract ManagerDirect Reportsn / aRequisition #24625Pay and BenefitsEstimated hiring range $88,430 - $108,080 / year, 5% bonus target, full benefits. www.careoregon.org / about-us / careers / benefitsPosting NotesThis is a fully remote role, but you must reside in one of the listed 9 states.Job SummaryThe Senior Contract Specialist is a key contributor to the Contracting team. This position negotiates, develops, and maintains Letters of Agreements (LOAs), and healthcare services contracts which are moderately advanced to complex in nature; may also be responsible for Single Case Agreements (SCA), as assigned. Primary areas of focus include hospital systems and contracts with custom terms. This position also provides analytical, programmatic and project leadership for the department and serves as a resource throughout company for contract language and terms. This position maintains positive, effective relationships with contracted provider network with attention to ongoing service needs, as well as maintains effective relationships with internal departments impacted by contract changes. The Senior Contract Specialist identifies expense outliers, performs financial analysis, and recommends reimbursement strategies.Essential ResponsibilitiesContract and LOA Negotiation and DevelopmentManage internal contracting process, LOA, and external network relationships for assigned providers and programs.Negotiate contract language and terms.Negotiate, coordinate, and produce Letters of Agreement and other provider contract documents.Build, maintain and leverage effective working relationships with external and internal constituents.Financial Analysis and ReportingPerform and review financial analysis with Contract department leadership, Contracting leadership of assigned area and Finance staff.Perform advanced data gathering, analysis, and reporting in alignment with Contracting policies and procedures.Lead the development and analysis for key programs and provide recommendations based on analysis.Assist with the compilation of mandated reporting regarding contract payments.Contract AdministrationOversee the tracking and monitoring of contracts, LOAs, and related metrics; may also be responsible for SCAs.Ensure payments are made based on contract terms and assist with the facilitation of those payments as needed.Ensure all necessary contract information is directed to Provider Services staff for provider data file entry and maintenance.Assist in the resolution of provider issues related to contractual relationships.Coordinate accuracy and maintenance of provider payment networks with System Coordinators.Project LeadershipProvide program and advanced project leadership for assigned area to the Contracting department.Collaborate with internal departments and leadership to determine appropriate changes to existing programs; participate in the design of new programs and payment models.Create programmatic materials that educate the provider network and internal teams regarding changes to existing and new payment models.Department Policies and OperationsPlay a critical role in developing and maintaining contract infrastructure and procedures based on management direction.Recommend provider payment and network strategies to the contract management team.Orient CareOregon staff to contracting process; act as an advanced resource to staff on contract-related matters.Organizational ResponsibilitiesPerform work in alignment with the organization's mission, vision and values.Support the organization's commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.Strive to meet annual business goals in support of the organization's strategic goals.Adhere to the organization's policies, procedures and other relevant compliance needs.Perform other duties as needed.Experience and / or EducationRequiredMinimum 5 years' progressive experience in managed care contracting, provider relations, network / business development, or financial analysis / accounting with a minimum of 2 years in contract negotiation, development, and administrationPreferredBachelor's degree in Business, Health Care Administration, Analytics, or related degreeKnowledge, Skills and Abilities RequiredKnowledgeExtensive knowledge of managed care and the Oregon Health PlanStrong knowledge of federal Medicare regulations and state Medicaid rules (OARs)Knowledge of claims administration and ability to implement contract reimbursement termsKnowledge of the Resource-Based Relative Value Scale (RBRVS), Diagnosis Related Groups (DRGs), shared savings agreements, and ability to perform rate calculationsStrong knowledge of data analytics tools and methodologiesKnowledge of physician group, hospital, and facility operationsSkills and AbilitiesExcellent analytical skillsExcellent written and verbal communication skillsStrong word processing, spreadsheet, and database skillsAbility to negotiate facility contract language and termsAbility to develop and maintain effective relationships with providers and provider groupsAbility to achieve desired outcomes through effective use of negotiation skillsAbility to negotiate and implement complex reimbursement arrangementsAbility to maintain professional relationships with internal staff and departmentsAbility to independently work with providers, provider groups and other populations in addressing and resolving problemsAbility to work independently, organize, prioritize, and manage multiple projectsAbility to work effectively with diverse individuals and groupsAbility to learn, focus, understand, and evaluate information and determine appropriate actionsAbility to accept direction and feedback, as well as tolerate and manage stressAbility to see, read, and perform repetitive finger and wrist movement for at least 6 hours / dayAbility to hear and speak clearly for at least 3-6 hours / dayWorking ConditionsWork Environment(s) : Indoor / Office Community Facilities / Security Outdoor ExposureMember / Patient Facing : No Telephonic In PersonHazards : May include, but not limited to, physical and ergonomic hazards.Equipment : General office equipmentTravel : May include occasional required or optional travel outside of the workplace; the employee's personal vehicle, local transit or other means of transportation may be used.Li-RemoteCandidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment.Veterans are strongly encouraged to apply.We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.Visa sponsorship is not available at this time.ApplySave JobEmail Job to FriendReturn to Listvar postedOnFastDate=document.getElementById("postedOnFastDate").value;var postedOnDateField = document.getElementById("postedOnDate");if(postedOnFastDate==""){ postedOnDateField.innerHTML="null";}else{ var postedOnFastDateValue = Number(postedOnFastDate); var postedOnDate = new Date(postedOnFastDateValue); var dateFormatter = new DateFormat(document.getElementById("pattern").value, document.getElementById("locale").value); var postedOnDateField = document.getElementById("postedOnDate"); postedOnDateField && (postedOnDateField.innerHTML = dateFormatter.format(postedOnDate));}if (window.TopNavBar) { TopNavBar.setPageQualifier('EMAILJOBREQTOFRIENDEXTERNAL'); TopNavBar.setIsPXTimedPushSurveyEnabled('false'); }link href=" / ui / rcmcareer / css / RCMCaptcha8c05a526cc2a42f11e0804bf2fd2ef83.css" type="text / css"