Job description
Cortica is looking for a
Contract Manager join our growing team!
We are a rapidly growing healthcare company pioneering the most effective treatment methods for children with neurodevelopmental differences. Our mission is to design and deliver life-changing care – one child, one family, one community at a time. Ultimately, we envision a world that cultivates the full potential of every child. At Cortica, every team member is instrumental in helping us achieve our mission!
Our culture and values guide how we work and treat one another. Cortica celebrates diversity and fosters an inclusive environment, seeking ideas and opinions from everyone on the team. We safeguard equal rights and respect for all individuals, regardless of race, color, religion, sex, national origin, age, disability, creed, genetic information, sexual orientation, gender identity or expression, ancestry, veteran status or other applicable, legally protected characteristics. All Cortica employment decisions are made based on an individual’s qualifications and ability to successfully perform the job responsibilities.
We are a rapidly growing healthcare company pioneering the most effective treatment methods for children with neurodevelopmental differences. Our mission is to design and deliver life-changing care – one child, one family, one community at a time. Ultimately, we envision a world that cultivates the full potential of every child. At Cortica, every team member is instrumental in helping us achieve our mission!
Our culture and values guide how we work and treat one another. Cortica celebrates diversity and fosters an inclusive environment, seeking ideas and opinions from everyone on the team. We safeguard equal rights and respect for all individuals, regardless of race, color, religion, sex, national origin, age, disability, creed, genetic information, sexual orientation, gender identity or expression, ancestry, veteran status or other applicable, legally protected characteristics. All Cortica employment decisions are made based on an individual’s qualifications and ability to successfully perform the job responsibilities.
SUMMARY:
The Contract Manager supports all aspects of both behavioral health and medical payer contracting throughout the lifecycle: develop and refine payer contracting strategy, participate in payer contract negotiations, analyze the financial value of contract terms, write and edit contract language, implement and communicate contract terms, and respond to both internal and external questions.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Work with leadership to develop strategy for payer contracting.
- Negotiate financial and operational payer contract terms, including value-based contracts.
- Model the financial impact of various contract proposals and interpret the models to inform contract decision-making.
- Draft, review, and interpret contract language.
- Build and maintain strong relationships externally with payers as well as internally with partner departments.
- Work closely with revenue cycle, credentialing, enrollment, and other internal teams to ensure contract terms are understood and executed accurately.
- Organize, update, and manage key contract terms through meetings, trackers, and databases.
- Communicate and educate applicable staff on key aspects of new contracts; answer internal and external questions.
- Research payer market share, products and contracting processes to provide perspective on the strategy for expansion into new markets.
- Ensure the efficiency of processes and create new workflows and/or tools, as needed, and proactively seek innovative ways to streamline operations.
NON-ESSENTIAL JOB DUTIES/OTHER FUNCTIONS:
- Other duties as assigned.
COMPETENCIES:
To perform the job successfully, an individual should demonstrate the following competencies:
Innovation – Seek different, innovative ways to accomplish Cortica’s goals. Go beyond simply completing a task and identify ways to continuously improve and evolve.
Analytic Skills – Ability to analyze an issue from beginning to end: understand a business question; design a model or analysis to answer the question; interpret analysis; present clearly and concisely to leadership.
Oral and Written Communication – Concisely and clearly articulate key messages both internally and externally. This may be done during meetings, or using PowerPoint, Excel, and/or contract trackers. Ask appropriate questions to ensure a mutual understanding of information.
Teamwork - Exhibit objectivity and openness to others’ views; gives and welcomes feedback; contributes to building a positive team spirit; puts success of team above own interests both internally and externally.
Planning/Organizing – Appropriately prioritize and plan work activities; use time efficiently, and quickly shift to new priorities.
Interpersonal Skills – Builds strong relationships with both internal and external partners. Able to come to agreement when parties have differing perspectives.
WORKING CONDITIONS AND ESSENTIAL PHYSICAL DEMANDS:
The environmental factors described here are representative of those that may be present in the workplace while the team member performs the essential functions of this job.
Office or Home office environment:
This is a fully remote job. Work involves sitting most of the workday greater than 50% of the time. Walking and standing are required only occasionally. Typing and applying pressure with the fingers and palm required. Expressing or exchanging ideas by means of the spoken and written word. Conveying detailed or important spoken instructions to customers and other workers accurately, clearly, and at times, quickly. Hearing: Perceiving nature of sounds at normal speaking levels with or without correction. Ability to receive detailed information in oral communication, and to make the discriminations sound. Repetitive motion: Substantial repetitive movements (motions) of the wrists, hands, and/or fingers. Exerting up to 10 pounds of force occasionally with force to lift, carry, push, pull or otherwise move objects, including the human body. Required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading, primarily on a computer monitor. Occasional travel required for offsite meetings and events. Normally less than 10% of the time. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.
MINIMUM EDUCATION, CERTIFICATIONS/LICENSES, AND OTHER REQUIREMENTS:
- Bachelor’s degree or equivalent; master’s degree preferred.
- 5+ years of experience working with healthcare contract terms, reimbursement methods, or contract administration principles preferred and has basic contract language interpretation skills.
- Experience with project management including documentation, attention to detail, diligent follow-up, and organization.
- Excellent communication skills, and the ability to concisely summarize information.
- Sound judgment in responding to inquiries; understands when to escalate inquiries.
COMPLIANCE
- Maintain privacy of all patients, teammates, and volunteer information and access such information only on a need-to-know basis for business purposes as required by HIPAA
- Comply with all HIPAA regulations regarding corporate integrity, and security obligations. Report unethical, fraudulent, or unlawful behavior or activity
- Comply with all OSHA regulations and regularly scheduled trainings
- Comply with all regularly scheduled harassment trainings
Your Compensation & Benefits
Cortica cares deeply about the well-being of each team member! The culture and experience we create for our employees are of the utmost importance to us. We offer a wide range of benefits. Among the benefits offered by the company are medical, dental, and vision insurance, 401Ks with company matching and rapid vesting, paid holidays and wellness days, life insurance, disability insurance options, tuition reimbursements for professional development and continuing education, and referral bonuses. The base pay range for this opening is
$118,080 to
$131,200. According to your skill level, relevant experience, education level, and location, you will receive compensation that fits appropriately within the range.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties and physical demands.
About Cortica:
Cortica is a leading provider of advanced neurological therapies for children with autism and other developmental differences. We offer in-home, in-clinic, and telehealth services that empower families to achieve long-lasting, transformative results.
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