Northwell Health Mgr Contract in New Hyde Park, New York

Req Number 001QS1

Job Category Managed Care

Job Description

As Contract Manager you will assist in the development of managed care contract proposals for Health System entities. You will also address operational issues and ensure contract rates and contract terms are implemented with the ultimate goal of maximizing system revenue.

Responsibilities Include:

  • Develops and analyzes the impact of managed care contract proposals on the Health System.

  • Participates in maintenance of rate database and annual reports of contractual terms for managed care contracts (prosthetics and implants, MR copying charges, etc.)

  • Collaborates with both hospital departments and outside vendors to facilitate contract implementation.

  • Interfaces with insurance companies/third party payers on a routine basis to resolve operational or systemic payment issues.

  • Assists senior staff in document preparation of proposals, contracts and settlements.

Qualifications

  • Bachelor’s Degree in Finance, Statistical Analysis, Mathematics or Computer Systems, required.

  • Minimum of three (3) years progressively responsible work experience in Managed Care, Insurance or Health Administration, required.

  • Strong communication skills, required

Our Culture

Transforming care, optimizing patient satisfaction and creating better patient outcomes are just some of the things our talented team members are doing at North Shore-LIJ each and every day. As a culture committed to providing our customers with the highest quality service, we stand behind our core values: Patients first; Caring; Excellence; Innovation; Integrity and Teamwork. It is our commitment and our culture that sets us apart from others and is the cornerstone of everything we do. Join an organization whose team members are valued, cared for and offered continuous opportunities to grow. Click on the link to learn more about us: www.northshorelij.com/goals

Please note: North Shore-LIJ is a smoke-free environment. Smoking and the use of tobacco products is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises. Free smoking cessation programs and quit medications are offered to team members who wish to quit through the North Shore-LIJ Center for Tobacco Control.