Contract Manager at Akshar IT Solutions

Job Summary:

• As a Contract Manager, you will be responsible for developing, implementing, and managing cost-effective provider networks for multiple products. You will lead contract language and reimbursement negotiations with various provider entities across New Hampshire, ensuring contract terms and conditions comply with financial and legal requirements.

Must-Haves:

• 3-4 years of progressive provider network and provider network contracting experience
• In-depth knowledge of contract finance and provider reimbursement methodologies
• Proven negotiation and communication skills with hospitals, Integrated Delivery Networks, physicians, and ancillary service providers
• Knowledge of federal and state Medicare, Medicaid, and relevant guidelines, regulations, and standards
• Previous healthcare industry experience.

Qualifications:

• Bachelor’s degree in health care administration, Business, or a related field
• 3 years of progressive experience in a contracting and analytical capacity in a leadership role (4 years for those without a baccalaureate degree)
• Proven analytical skills in assessing and projecting financial, utilization, and quality performance
• In-depth knowledge of current healthcare industry issues and trends
• Proven negotiation skills with hospitals, Integrated Delivery Networks, physicians, and ancillary service providers
• Effective communication and relationship-building skills
• Expertise in Microsoft Office programs and industry-standard financial applications
• Responsibilities:
• Assist provider partners in interpreting data tools and analytics
• Ensure contracting and implementation process integrity
• Demonstrate knowledge of varying payment methodologies
• Support strategic network composition and design initiatives
• Lead and manage provider implementation
• Ensure provider compliance with contractual, regulatory, and NCQA requirements
• Participate in cross-functional workgroups
• Gather and analyse data to assess provider network adequacy
• Identify and develop strategies for improving provider and network performance
• Lead negotiations of financial and contractual terms
• Ensure contract terms and conditions comply with financial and legal requirements
• Develop and maintain business relationships with key contracting hospitals, physicians, and ancillary service providers
• Participate in departmental policy development and improvement

Our Investment in You:

• Competitive salaries
• Excellent benefits