Contract Officer | The Confidential Search Company

17 Feb 2020 5:49 AM | Anonymous

Position Description: We have been engaged to conduct the search for a Contract Officer for our client, Connecticut’s largest healthcare system with over 2,400 beds that includes hospitals, physicians and related health services throughout Connecticut and into New York and Rhode Island. Their offices are in New Haven, CT.

The starting salary is up to $140k plus bonus, depending on background and experience. Their may be some flexibility for an outstanding candidate.

Our client offers an excellent and comprehensive benefit package.

Relocation assistance will be considered as appropriate.

The Contract Officer reports to the Vice President, Payer Relations for the Health System. The Contract Officer will be responsible for directing and overseeing the health plan contracting, contract implementation, and ongoing contract management for the Health System including the flagship Medical Center, teaching and community hospitals, and non-hospital entities. The Contract Officer will deal with external constituents, including managed care payers, employers, third party administrators and insurance companies, as well as internal constituents within the System, including the System Business Office, Finance and senior managers of the hospital(s). Contracts are negotiated and coordinated in conjunction with the VP and SVP, Payer Relations.

Responsibilities:

  • Negotiate with managed care organizations and/or insurers to obtain provider services agreements that advance the profitable growth of the Health System. The majority of the agreements will be negotiated by the Contract Officer or their designee. Some major agreements may be negotiated in conjunction with the VP/SVP, Payer Relations.
  • Ensure that provider services agreements can be supported and key deliverables or performance targets are upheld in advance to committing the organization to their terms.
  • Responsible for delivering critical information concerning covered services, par providers, carve-outs and fee schedules to affected internal clients in a timely manner; facilitate clear and unequivocal communications between contractors and health system clientele as necessary to ensure smooth implementation of agreements.
  • Maintain keen awareness of the external business environment and most-likely prospects garnering new payer agreements and/or favorable payment provisions.
  • Supports the hospital’s quality program initiatives and ensures that the relevant standards are upheld in all contracting ventures.
  • Cultivates effective partnerships with internal hospital and health system colleagues to present a cohesive and proactive team approach to meeting client needs.
  • The Contract Officer will routinely negotiate with senior executives at major health plans and includes hospital, professional, behavioral health, transplant, burn and all other services delivered by the Health System.
  • Assist the VP/SVP, Payer Relations with development of overall Health System managed care strategy and assist in the implementation of that strategy.
  • Assist the VP/SVP, Payer Relations in the development and implementation of the necessary health care reform initiatives as directed by the Health System Executive Leadership Group.

Requirements:

  • Bachelors Degree required.
  • Minimum of 6 years contracting experience in progressively responsible management roles within a health care setting.
  • Solid understanding of managed care, payment approaches, risk and capitation and managed care knowledge and experience negotiating managed care contracts
  • Exceptional communication skills, both verbal and written
  • Excellent negotiation and partnering skills
  • Ability to make tough decisions with confidence
  • Operational understanding of planning and marketing, finance, business office systems, human resources, hospital operations and medical staff leadership
  • Political savvy, strong ethics and teamwork skills

The Confidential Search Company is an executive recruiting firm that specializes in the placement of healthcare financial executives, VPs, directors, Managers and Specialists.

All inquiries will be treated confidentially.

For more information about this opportunity please contact:

Matthew O’Brien
The Confidential Search Company
mailto:ConfSearch@aol.com
860-742-1555