Network Contract Manager CIN - Full time - Detroit

📁
Clinical/Allied Health
💼
Corporate Services
📅
253589 Requisition #

GENERAL SUMMARY:

Under minimal supervision, the Network Contract Manager oversees the tracking and management of value-based contracts within the Clinically Integrated Network (CIN). Responsible for ensuring the accuracy and timeliness of contract information, engaging with leadership for negotiations, and collaborating with stakeholders to monitor and report contractual terms. This role is essential in maintaining compliance with regulatory requirements and supporting the continuous improvement of Network contracting processes.

 

PRINCIPLE DUTIES AND RESPONSIBILITIES:

·       Reviews, revises, and provides feedback from initial contract draft through execution of the agreement. Maintains an organized library of contracts and policies, ensuring all information is accurate and timelines are adhered to following execution. 

·       Ensures timely engagement of network leadership ahead of payor negotiations or renegotiations, ensuring all contractual elements are prepared, reviewed, and revised.

·       Assists with the scheduling, coordination, and execution of tasks for payor negotiation meetings, governance committees, and administrative meetings.

·       Organizes and leads internal contract review meetings, including scheduling, preparing agendas and content, leading discussions, and capturing accurate minutes.

·       Prepares and delivers written reports and presentations to leadership, administrative staff, committees, and the Board as required.

·       Proactively keeps current with all regulatory requirements related to value-based contracting and ensures that all administrative requirements are accurately tracked to meet deadlines. 

·       Builds and maintains collaborative relationships with internal and external stakeholders, facilitating effective communication and cooperation. Routinely collaborates with corporate departments including Managed Care Contracting/ Revenue Cycle. 

·       Collaborates with leadership and staff to collect, synthesize, and package outcome metrics related to clinical, quality, and financial targets as outlined in contracts.

·       Supports the development and execution of formal, internal, periodic reviews of contracts and policies to ensure ongoing compliance. Works with Network Finance to prepare and execute financial assessments, including fee schedule analysis. 

·       Utilizes appropriate databases and project management tools to track and facilitate the timely completion of contractual requirements, including documentation, agreement execution, and review.

EDUCATION/EXPERIENCE REQUIRED:

·       Bachelor’s degree in Business Administration, Healthcare Administration, or similar field required. 

·       Three (3) years of healthcare industry experience, preferably in managed care, or Accounting, Finance, Payor Contracting, Revenue Cycle, or related field.

·       Proven experience in project management, preferably within a healthcare or clinically integrated network setting.

·       Strong understanding of managed care contracting language, value-based terms, and regulatory requirements.

·       Excellent organizational and planning skills with the ability to handle multiple projects and timelines. 

·       Proficiency in using project management tools, expert knowledge level of Microsoft Suite products (Word, Excel, PowerPoint, Outlook, Visio). 

·       Ability to build effective relationships with diverse stakeholders.

·       Strong analytical skills, effective problem-solving, and attention to detail.

CERTIFICATIONS/LICENSURES REQUIRED:  

  • Must meet or exceed core customer service responsibilities, standards and behaviors as outlined in the Henry Ford Health Customer Service Policy 
  • Must practice the customer skills as provided through on-going training and in-services. 

PHYSICAL DEMANDS/WORKING CONDITIONS:

Normal office environment with minimal exposure to noise, dust, or extreme temperatures.

    Additional Details

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

Overview

Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.

Benefits

  

The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.  

Equal Employment Opportunity/Affirmative Action Employer

        Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is

        committed to the hiring, advancement and fair treatment of all individuals without regard to

        race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

        weight, marital status, family status, gender identity, sexual orientation, and genetic information,

        or any other protected status in accordance with applicable federal and state laws.

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