Kaiser Permanente Sr. Contract Specialist in Aurora, Colorado
Create and model terms of contracts, including full financial analysis and review of organizational impact. Compiles healthcare claims data and other related information regarding provider contracts and provides recommendations to KP leadership to optimize strategy and performance.Leader in the development of capitation arrangements and reporting.Leader in the evaluation and implementation of contract modeling software.
Essential Responsibilities: - Financial management and evaluation of ancillary (non-hospital) contracts ($200M +). - Create and maintain contracting models, reports & dashboards; prepares ad hoc reports upon request. - Leads contract modeling system development and implementation of process improvements. - Leads capitation system requirements and reporting. - Participates in Contract Negotiation Meetings. - Research and respond to inquiries from business units and stakeholders. - Other duties as assigned.
Qualifications: Basic Qualifications: Experience - Minimum seven (7) years of experience in health care data analysis including database/data mining experience including, but not limited to, creating queries, reports, and tables. - Minimum two (2) yearsof experience using financial modeling systems. Education - Bachelor's degree in business, health care administration or related field License, Certification, Registration - N/A
Additional Requirements: - Motivated to acquire new skills and knowledge for improved performance while working under pressure. - Strong work ethic and completes tasks in a timely and efficient manner. - Effective, clear and concise communication using appropriate channels to maintain working relationships. - Strong ability to meet very aggressive deadlines and strong analytical skills. - Knowledge and experience in creating multi-functional databases. - SQL and data warehouse experience. - Intermediate MS Word computer proficiency test with a passing score of 70% or better. - Intermediate MS Access computer proficiency test with a passing score of 70% or better. - Intermediate MS Excel computer proficiency test with a passing score of 70% or better.
Preferred Qualifications: - More than seven (7) years of experience with provider data analysis and health care operations experience preffered. - More than seven (7) years of working with robust database programs to include SQL, SAS & Business Objects preferred. - Experience with data marts, data mining tools and programming. - Experience with modeling systems and a working knowledge of process and procedures. - Master's degree in business, health care administration or related field. - Cost accounting capability & understanding.
- Ability to assist in migration to new data platforms & systems.
COMPANY Kaiser PermanenteTITLE Sr. Contract SpecialistLOCATION Aurora, COREQNUMBER 615464
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.