Reimbursement and Contracting Manager Job

Location
Bloomington, MN, 55420
Posted
Dec 04, 2012
Closes
Feb 19, 2013
Category
Management
Employment Status
Full Time
Reimbursement and Contracting Manager

Job ID:: 25558
Department:: HPMG Fin Planning & Imprvm
City:: Bloomington, MN
Location:: HP - Bloomington 8170 Office Bldg
Position Type:: Full-Time
Anticipated Work Schedule:: Mon - Fri 8-5
Hrs/Pay Period:: 80

Job Description::

The culture at HealthPartners is one of ownership, pride, service and most importantly, partnership. That spirit of partnership among employees, patients and the community helped us to earn a place on the Minneapolis/St. Paul Business Journal’s List of the Twin Cities Great Places to Work. Join us for a career that offers respect, support and encouragement. You’ll stay for the power of partnership.

Our continued growth has created an opportunity for a Reimbursement and Contracting Manager to work with the HealthPartners Medical Group Finance, Planning and Improvement Department. This role is responsible for payor contract strategy and execution and overseeing reimbursement analysis and financial reporting. Works with all levels of staff within the organization with regard to strategic business initiatives including systems implementation, operational projects, and financial reporting enhancements designed to improve reimbursement.

RESPONSIBILITIES:

Corporation

1. Responsible for leading annual payor contracting for HPMG.

2. Responsible for maintaining effective relationships with payors, including leading regular payor relations meetings.

3. Serves as the liaison between revenue cycle teams and the HPMG Finance Team.

4. Reports quarterly objectives and key process measures.

5. Performs additional duties as directed by senior management.

Management

1. Maintains contracts and updates language as needed.

2. Monitors payor payments relative to contractual rates and actively reconciles differences.

3. Responsible for operational details associated with all HPMG payor contracts.

4. Monitors performance and payment for payor incentives and withholds.

5. Reviews commercial and government payor communications and provider manuals and disseminates information throughout the organization.

6. Manages design, development, and implementation of operations and system projects.

7. Oversees the planning and implementation of team efforts.

8. Assists in developing and implementing updates to financial systems.

9. Initiates problem-solving discussions with management staff and leadership in regard to relevant business issues.

10. Regularly communicates with direct reports and staff on changes in priorities, policies and operations.

11. Develops partnerships with payors to streamline payment processes and increase cash flow.

12. Actively participates in the creation, update and ongoing testing of business continuity and disaster recovery planning and preparation.

Supervision

1. Creates and monitors expectations and accountabilities for all direct reports.

2. Develops staff through education, training, and coaching.

3. Completes the performance appraisal processes for all direct reports.

4. Provides advice, mediates issues and assists with conflict resolution for direct reports.

Personal

1. Maintains an awareness of latest technology, trends, and developments in managed care, patient accounting, customer service and other related health care industry initiatives.

2. Develops and communicates a personal career development plan.

3. Maintains membership and participates in professional organizations.

4. Participates in formal continuing education programs.

REQUIRED QUALIFICATIONS:

1. Bachelor's degree in finance, accounting, business administration, public health or health care administration and/or five years of finance experience.

2. Experience negotiating payor contracts.

3. Two years of experience supervising staff.

4. Knowledge of generally accepted accounting principles and accounts receivable management techniques.

5. Detailed knowledge and understanding of the healthcare industry, including customer expectations on service.

6. Advanced project management skills and demonstrated experience managing projects on time and on budget.

7. Demonstrates effective leadership skills.

8. Advanced problem-solving skills to work independently with minimal or no direction.

9. Exceptional skills utilizing Excel, Access, and other decision support systems.

10. Excellent interpersonal skills.

11. Concise and accurate written communication skills.

12. Excellent oral presentation skills and the ability to lead group discussions.

13. Demonstrated skill in planning, organizing and time management.

14. Ability to assess employee needs and solve human resources related performance problems.

15. Advanced analytical ability to assess situations and choose cost-effective solutions.

16. Ability to conduct research, analyze, interpret and communicate results.

17. Ability to work well with ambiguity and continuous change.

PREFERRED QUALIFICATIONS:

1. Masters degree in finance, accounting, business administration, public health or health care administration.

2. Prior revenue cycle experience.

3. Epic Resolute experience.

HealthPartners, nationally acclaimed for providing outstanding patient care, offers a comprehensive benefits package. To see a complete job description and/or to apply for this position, please visit www.healthpartners.jobs, click on job opportunities and search for Job ID # 25558.

Health is what we do. Partnership is how we do it.

EOE

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