Henry Ford Health
Insurance Contract Administrator - Full Time- Hybrid/Troy
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Job Overview
Develop, maintain, implement, and monitor contractual relationships with third-party Insurance Payors on behalf of HFHS and its business units.
Principal Duties and Responsibilities
- Negotiate contractual provisions and rates with Payors under supervision of the Director of Managed Care Contracting.
- Evaluate and analyze contract proposals, review/revise contract language, and coordinate with legal counsel.
- Monitor current contracts for compliance, appropriate rate structure, and renewal or renegotiation opportunities.
- Identify and recommend new contracting opportunities to enhance HFHS's contract portfolio.
- Coordinate implementation of Payor arrangements and provide ongoing education and support.
- Communicate contractual requirements and issues to internal departments such as Utilization Management, Finance, and Legal.
- Maintain and update contractual relationship files and database.
- Act as liaison between HFHS and Payors on operational issues.
- Coordinate facility credentialing and re-credentialing processes.
- Perform additional duties as assigned.
Qualifications
- Bachelor's Degree in Business, Healthcare, or related field.
- At least four years of experience in the healthcare industry.
- Knowledge of managed care organizations and health systems.
- Experience in contracting, provider relations, or reimbursement.
- Strong project management, negotiation, and communication skills.
- Proficiency in Microsoft Word and understanding of legal and insurance principles.
Physical Demands and Working Conditions
Normal office environment with minimal physical hazards.
Additional Information
- Organization: Corporate Services
- Department: Managed Care Contracting
- Shift: Day Job
Employment Details
- Seniority level: Associate
- Employment type: Full-time
- Job function: Management and Manufacturing
This job posting is active. No indication of expiration was found.
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