Job Description:

Contracting and Payor Relations Administrator I

Requisition #: 317789

Location: Johns Hopkins Health Care,

Columbia,
MD 21044


Category: Non-Clinical Professional

Work Shift: Day Shift

Work Week: Full Time (40 hours)

Weekend Work Required: No

Date Posted: Jan. 22, 2021

Position Summary:

The Contracting and Payer Relations Administrator reports to the Assistant Director, Managed Care Contracting. Responsible for negotiating Single Case Agreements with payors, including but not limited to negotiating reimbursement rate(s) and contract provisions on behalf of Johns Hopkins Medicine (JHM) hospitals, physician groups and ambulatory sugery centers. Responsible for training JHM clinical entities on the process of obtaining viable Single Case Agreements and ensures compliance with the administration of managed care Single Case Agreement policies and procedures. This individual serves as a resource for staff at all JHM Operationsl Units and Senior Management levels as well as front line staff regarding Single Case Agreements. Position requires negotiation skills, abilitty to analyze contract terms, understanding of hospital/physician services, contracts and ree schedules to the extent required to process Single Case Agreement requests.

Education:

A Bachelor's Degree in Healthcare Administration or related field is required; A Master's Degree in related field is preferred - Some work experience may be substituted for educational requirement

Work Experience:

A minimum of 7 years' experience in a health care environment or human services with a minimum of 3 of those years working on insurance issues with emphasis on clinical operations, contract management, financial counseling or training

• Knowledge of managed care and health care concepts and terminology as well as knowledge of the health care industry


• Ability to interpret health care policies


• Ability to understand contract terms


• Excellent negotiation skills


• Knowledge of health care contract administration to include the relationship among operational units involved in executing and maintaining contracts


• Understanding of hospital and physician billing system and practices


• Excellent verbal and written communication skills to effectively interact with Johns Hopkins employees at all levels, (physicians, nurses, clinic mangers and office staff), plan representatives as well as plan beneficiaries and other external business related associates


• Strong independent research skills


• Analytical and decision-making skills to solve complex problems


• Advanced project management skills to prioritize multiple initiatives and assigned tasks

Shift:

Full Time Day Shift, (40 hours)

8:00 am - 4:30 pm

Exempt, NK

Location:

JHH, 10705 Charter Drive, Baltimore, MD 21044

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

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