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The Contracting Manager will be accountable for performing managed care contract negotiations in a timely and effective manner for hospital, physician and the full continuum of services provided by the Fairview system and affiliated providers. Responsible for the appropriate application of underwriting principles in developing recommendations and strategies for rate setting and accepting appropriate levels of financial risk. Maintains effective working relationships with payors, delivery system and affiliated physician network representatives. Ensure negotiated terms and conditions are accurately communicated within Fairview and its partners.
Responsibilities/Job Description
Strategic Planning: Develop goals, measurable objectives and action plans related to managed care contract negotiations for services provided by the Fairview System and affiliated providers, in alignment with Fairviews financial and operational strategic priorities.
Department Operations: Participates in planning and providing guidance and support to the processes of the department to ensure customer needs are met in an efficient, effective and timely manner.
Communication: Responsible for communication within the department and across the Finance Division and Fairview to ensure that information is shared in a timely, open and honest manner that promotes effective and efficient operations and positive interpersonal relationships.
Problem Solving: Demonstrates ability to identify, analyze and prioritize problems. Demonstrates ability to develop creative solutions/options in both routine and urgent situations. When developing options, recognizes the impact on other departments within the Finance Division and Fairview.
Leadership: Demonstrates ability to influence key Revenue Management interfaces including health plan representatives, Fairview Finance Division ad Delivery system leadership and affiliated provider representatives.
Financial Management: Identify and establish process improvement efforts related to creating consistency in financial performance reporting across Fairview Accounting, Reimbursement, Finance and Delivery system departments.
Teamwork and Conflict Management: Works and collaborates with others to continuously improve the effectiveness of systems and processes related to payor relationships, customer service and care delivery. Handles conflict calmly and effectively using a positive non-threatening approach.
Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served.
Qualifications
Required
Education:
Bachelors degree in business, accounting or related field or 6 years equivalent work experience
Experience:
5 years of healthcare experience in managed care negotiating and contracting for integrated delivery systems
Together with the University of Minnesota and University of Minnesota Physicians we have created M Health Fairview. M Health Fairview is the newly expanded collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The healthcare system combines the best of academic and community medicine — expanding access to world-class, breakthrough care through our 10 hospitals and 60 clinics.Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Fairview is one of the most comprehensive and geographically accessible systems in the state, with 10 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area.Its broad continuum also includes 60 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne. In partnership with the University of Minnesota, ...Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.
