Contract Specialist - Managed Care Payor Contracting

JOB SUMMARY

Responsible for seeking contract opportunities, reviewing contract language and terms, conducting data analysis on financial terms, negotiating contracts, and managing executed contracts for all RCHSD entities. Coordinates communication and problem resolutions regarding payment issues with all contracted payors. Manages the contract review process for RCSSD 3rd party contracts, contracts with payors, IPA's, PPO's, ancillary providers and other vendors. Responsible for maintaining up-to-date knowledge regarding scope of services provided by RCHSD. Utilizes effective interpersonal skills to initiate, cultivate and maintain cooperative relationships with contracted entities.

MINIMUM QUALIFICATIONS

Associate's Degree

3 years of experience

Three years inpatient coding experience

PREFERRED QUALIFICATIONS

Bachelor's Degree

5 years of experience

The expected hiring range for this position is $32.51 to $44.70

Rady Children's Hospital is committed to compensation that is externally competitive and internally equitable. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector. The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates. Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity. This posting will remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool or until the position is filled.

EOE including disability/vet