Emory

Contract/Provider Sr Service Manager

Division
Emory Healthcare Inc.
Campus Location
Atlanta, GA, 30345
Campus Location
US-GA-Atlanta
Department
EHI Contracting
Job Type
Regular Full-Time
Job Number
142141
Job Category
Revenue Cycle & Managed Care
Schedule
8a-4:30p
Standard Hours
40 Hours
Hourly Minimum
USD $43.79/Hr.
Hourly Midpoint
USD $59.11/Hr.

Overview

Be inspiredBe rewarded. Belong. At Emory Healthcare. 

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to beWe provide: 

  • Comprehensive health benefits that start day 1 
  • Student Loan Repayment Assistance & Reimbursement Programs 
  • Family-focused benefits  
  • Wellness incentives 
  • Ongoing mentorship, development, and leadership programs  
  • And more 

Description

  • Independently assesses, analyzes, and negotiates payer contracts for all hospital and professional entities within Emory Healthcare (EHC).
  • Manages information for loading and maintaining payer contracts in EHC decision support systems.
  • Implements new contracts, amendments, and business process modifications.
  • Manages provider service relationships for assigned payer organizations and assigned EHC provider entities, by managing contract interpretation for operational issues and problem resolution.
  • Determines and manages revenue enhancement opportunities for EHC entities through enhanced contract management.
  • Manages the balance of contract negotiations and provider service interests through dual responsibility.
  • Performs other related duties as required.

    MINIMUM QUALIFICATIONS:
  • Bachelor's degree required.
  • Master's degree preferred.
  • Four years experience required, but prefer seven years of healthcare related experience, preferably in a complex Provider or Payer managed care organization.
  • Demonstrates innovative and critical thinking with creative approaches to problem solving.

Additional Details

Supporting a diverse, equitable and inclusive cultureEmory Healthcare (EHC) is dedicated to providing equal opportunities and access to all individuals regardless of race, color, religion, ethnic or national origin, gender, genetic information, age, disability, sexual orientation, gender identity, gender expression and/or veteran's status. EHC does not discriminate on the basis of any factor stated above or prohibited under applicable law. EHC respects, values, and celebrates the unique perspectives and backgrounds of all individuals. EHC aspires to create an environment of collaboration and true belonging for all our patients and team membersEmory Healthcare (EHC) is committed to achieving a diverse workforce through equal opportunity and nondiscrimination policy in all aspects of employment including recruitment, hiring, promotions, transfers, discipline, terminations, wage and salary administration, benefits, and training. 

ACCOMMODATIONS: EHC will provide reasonable accommodation to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Diversity, Equity, and Inclusion.”  

PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs., 0-33% of the work day (occasionally); 20-35 lbs., 34-66% of the workday; (frequently); 10-20 lbs., 67-100% of the workday (constantly); Lifting 75 lbs. max; Carrying of objects up to 35 lbs.; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks. 
 
ENVIRONMENTAL FACTORS: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks. 

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