Managed Care Contract Specialist -PHX Children's-Remote (Residing in PHX)
Posting Note: As a Managed Care Contract Specialist for Phoenix Children's, you will be responsible for evaluating, analyzing, negotiating, implementing, and monitoring contract rates and terms. Contracts may include Phoenix Children's Hospital, Phoenix Children’s Medical Group, and Phoenix Children’s Care Network, and all related entities. Your analytical expertise will focus on payment and operational issues that may be impacting the process. Your understanding of MS-DRG methodology, “fee for service”, pay for performance, “bundle payments”, and total cost of care model experience will be a perfect fit for this position. Relocation Assistance provided.
Schedule: M -F 8:00 a.m. - 5:00 p.m.
Requirements: 3 years of healthcare experience with a focus in contract administration and negotiation, strong analytical skills for evaluating financials, an understanding of standard and innovative contract and reimbursement methodologies, including service fee, pay for performance, bundled payments. Knowledge of DRG and OPFS and total cost of care models required. Proficiency in MS (EXCEL, WORD, PowerPoint) products is required.