Kaiser Permanente Senior Contract Manager in Aurora, Colorado
Negotiates, implements and maintains a diverse group of complex contracts with outside providers and vendors in the areas assigned. Accountable for creating a culture of compliance, ethics and integrity. Maintains knowledge of and assures departmental compliance with Kaiser Permanente's Principles of Responsibility and policies and procedures, and applicable regulatory requirements and accreditation standards. Responds appropriately, including required reporting, to observed fraud or abuse.
Essential Functions: - Negotiates financial and operation issues with providers and practitioners for the development and implementation of often complex contracts. - Acts as senior regional consultant to departments regarding contracts and agreements with community delivery systems. - Analyzes perspective agreements and recommends action. - Maintains relationship with current contract providers and vendors to resolve problems. - Reviews key contract provisions with Medical Group and Health Plan staff and obtains buy-in and approval of key provisions. - Coordinates implementation/administration of new contracts and coordinates administration of existing contracts; provides input and solutions for resolution of contractual issues. - Incorporates information technology for effective contract management, data analysis, forecasting and reporting. - Acts as a liaison between the Claims and Referrals Administration and KP Colorado Springs. - Performs other duties as assigned.
Qualifications: Basic Qualifications: Experience - Minimum six (6) years of experience involving quantitative and financial analysis and the management of contracts. Education - Bachelor's degree in business, health care administration or related area OR four (4) years of experience in a directly related field. - High School Diploma or General Education Development (GED) required. License, Certification, Registration - N/A.
Additional Requirements: - Significant knowledge of health care reimbursement methodologies required. - Working knowledge of budget management, negotiating skills and contract language.
Preferred Qualifications: - N/A.
COMPANY Kaiser PermanenteTITLE Senior Contract ManagerLOCATION Aurora, COREQNUMBER 630697
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.