This position negotiates and implements various types of contracts on behalf of the multiple affiliates of the Montefiore Health System. Those contracts
include managed care (FFS), value based, business support and delegated credentialing contracts with clients and payors, as needed.
The position provides support services and interfaces daily with Senior Director, Contracting and Corporate Affairs, AVP Payment Innovations, AVP Finance, AVP Quality Improvement, AVP Network Development, and Chief Medical Officer regarding contracting negotiations and the operational
impact of active contracts.

This position will be subject matter expert for all contracts and client relationships and will work with the Project Management Office to implement new
process/expansion of programs to existing value based, management and client contracts. Responsible for regular reviews, verification and updating data related to contract performance to identify opportunities for relationship improvements and negotiate strategies to implement improvements between both
parties.

This position is a key contact for senior management both internally and externally (health plans and clients) and assists the Account Management team in
the resolution operational issues arising from contractual relationships. It has a direct impact on Montefiore Health Systems revenues since it is responsible for the implementation of multiple types of managed care, value based and client support contracts.
The position is also responsible for contracting and maintenance of the business supports (vendor/consultant/software) contracts and relationships which
are directly tied to the value based, clinical and strategize initiatives throughout the organization.

 

Bachelor's Degree preferred. Must have in depth knowledge and understanding of contract negotiation, finance and provider reimbursement methodologies

           including Fee for Services, risk, shared savings, ACO and other financial incentive strategies.

In-depth knowledge and understanding of current healthcare industry issues and trends including national and state-level payment

           reform landscape and strategy (e.g. accountable care and value based payment)

Proven negotiation skills with providers and managed care plans; Knowledge of federal and state Medicare, Medicaid and relevant guidelines, regulations and standards; Effective communication (verbal and written) and relationship building skills. Position will interact with internal and external executive

           teams;

Experience in Microsoft Office programs

 

Department: CMO Bargaining Unit: Non Union Campus: YONKERS  Employment Status: Regular Full-Time Address: 100 Corporate Blvd, Yonkers
Shift: Day Scheduled Hours: 8:30 AM-5 PM Req ID: 217582 Salary Range/Pay Rate: $140,000.00 - $140,000.00    

 

For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.

 

To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click here.  

 

Diversity, equity and inclusion are core values of Montefiore. We are committed to recruiting and creating an environment in which associates feel empowered to thrive and be their authentic selves through our inclusive culture. We welcome your interest and invite you to join us.

 

Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law. 

 

N/A