Prepares, coordinates and manages contract negotiation process. Identifies and evaluates opportunities and financial terms for assigned contracts. Assesses potential legal risk in the context of contract provisions. Develops appropriate legal and financial contract language. Coordinates legal review. Prepares responses, letters of agreement and key contract provisions. Prepares and implements strategies for business growth. Identifies and targets specific areas for development. Initiates and dev... more details
At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.
We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.
Job Title
Sr. Contract Manager
Location
Independence
Facility
CC Business Operations Ctr
Department
Managed Care-Finance
Job Code
T34033
Shift
Days
Schedule
8:00am-5:00pm
Job Summary
Job Details
Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.
Senior Contract Managers are continuously working with a team, focused on the use of innovative contracting methods- and showing compassion by helping all of Cleveland Clinic’s institutes access patients’ insurance plants. As a Senior Contract Manager, you will:
• Negotiate contracts on behalf of Cleveland Clinic within an assigned business area.
• Evaluate new business opportunities.
• Manage administrative, legal, operational and financial issues related to contact negotiation.
• Participate in contracting strategy development, including business planning and implementation issues.
The ideal future caregiver is someone who:
• Has experience working for a provider in a contracting role handling strategy, negotiations of language, and data-driven rate decisions.
• Has experience working for a Payer/Plan in contracting.
• Is a motivated, strategic thinker and self-starter.
• Is willing to continually learn and improve.
• Likes to keep up to date with all things managed care and payer contracting related.
This is a 100% remote opportunity with the exception of one to two on-site Cleveland visits each year.
At Cleveland Clinic, we know what matters most. That's why we treat our caregivers as if they are our own family, and we are always creating ways to be there for you. Here, you'll find that we offer: resources to learn and grow, a fulfilling career for everyone, and comprehensive benefits that invest in your health, your physical and mental well-being and your future. When you join Cleveland Clinic, you'll be part of a supportive caregiver family that will be united in shared values and purpose to fulfill our promise of being the best place to receive care and the best place to work in healthcare.
Responsibilities:
- Prepares, coordinates and manages contract negotiation process. Identifies and evaluates opportunities and financial terms for assigned contracts.
- Assesses potential legal risk in the context of contract provisions.
- Develops appropriate legal and financial contract language.
- Coordinates legal review.
- Prepares responses, letters of agreement and key contract provisions.
- Prepares and implements strategies for business growth.
- Identifies and targets specific areas for development.
- Initiates and develops relationships, tracks history and progress.
- Implements contracting strategy for 3rd party relationships.
- Principal contact for 3rd party suppliers, internal clients, and 3rd party suppliers in development and review of proposed agreements.
- Review contractual performance of both parties to ensure compliance with terms and to identify conflicts or changes requiring resolution at contract renewal
- Develops methodology and review models that consistently and objectively evaluate the financial impact of proposals. Updates methodologies as contract issues change.
- Prepares responses to Request for Proposals (RFP) as required.
- Proven negotiation and influencing skills
- Strong collaboration and partnering skills
- Strong verbal and written communication skills with the ability to articulate complex ideas in easy to understand business terms to senior leaders
- Other duties as assigned.
Education:
- Bachelor’s Degree in healthcare, finance, marketing or related field required.
- Master's Degree preferred.
- Working knowledge of contemporary healthcare policies, practices, operations, and reimbursement methodologies.
- Knowledge of physician practice management, hospital administration and operations.
Certifications:
- Certified Public Accountant (CPA) or Certified Management Accountant (CMA) preferred (for Finance related contracts).
Complexity of Work:
- Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
- Must be able to work in a stressful environment and take appropriate action.
- Ability to understand "big picture" issues and ability to apply sound judgment.
Work Experience:
- 5 years of experience in contract management required.
- Experience with key financial and non-financial contract terms, legal issues and contract analysis.
- Offset: High School Diploma / GED or equivalent and 9 years of related experience.
Physical Requirements:
- Ability to communicate and exchange accurate information.
- Ability to perform work in a stationary position for extended periods.
- Ability to work with physical records or operate a computer or other office equipment.
- In some locations, ability to travel throughout the hospital system.
- In some locations ability to move up to 25 lbs.
Personal Protective Equipment:
- Follows Standard Precautions using personal protective equipment as required for procedures.
The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.
Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.
Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.
Please review the Equal Employment Opportunity poster.
Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities
