Contract administrator

Responsibilities

The Contract Administrator: Assists the UHS Managed Care/Payer Relations team in meeting UHS Managed Care business objectives in coordination with external and internal stakeholders. Supports all UHS Physician Operations’ markets under Independence Physician Management (IPM). Analyzes language and rates of IPM Managed Care payer agreements, performs contract and rate maintenance utilizing IPM’s SharePoint database as well as the DashboardMD database and other industry standard fee schedule data analytics. Works with the IPM Revenue Cycle team to assist with inquiries and resolve payer contract performance issues. While providing other IPM contracting duties as assigned, will help support the Director of Managed Care, Regional Director/Manager of Payer Strategies including special projects.

Maintain IPM Managed Care SharePoint site, including requests for access to site. Enter and maintain contract files of existing and new IPM contracts to ensure all SharePoint data is always current for documents, analytic tools and other supporting files. Ensure contract metadata is accurate, complete and the current executed version is available. Serves as first point of contact to work closely with the IPM Revenue Cycle team, IPM Market Managers, and other internal departments, as necessary, to resolve contractual/payer issues, communicate changes to payer fee schedule/contract terms, policy updates and other contract related matters across IPM 13 markets located in FL, SC, TX, OK, NV, CA, and DC.

Research discrepancies between contractual terms and operational/payments practices. Assist with coordinating resolution among providers, health plans, CBO and internal departments. Monitoring of key payer bulletins for physician contract “Policy & Procedures” compliance. Coordinates the internal signature process for all IPM contractual and supporting documents with Director of Managed Care, Regional Directors, Negotiators, Credentialing and other parties. Verify key information such as provider/entity names, effective dates, locations, TIN(s), and NPI(s). Identify discrepancies or missing information and correct/escalate appropriately.

Prepare, Route and track all IPM Fee for Service, Value Base Compensation and Delegated Credentialing contracts for summary review, signature, receiving of fully executed and contract notification to IPM Partners that communicate changes in reimbursement, participation, location, products or other material changes. Confirm that contracts are fully executed before they are considered effective. Attend and Participate in all IPM Market Transition and Acquisition/Due Diligence Calls. Serves as Payer Strategies team representative. Ensure all Payer Strategies tasks are executed timely. Engage and communicate market updates across IPM Markets, Payer Strategies’ Director of Managed Care and Regional Directors. Support Director of Managed Care, Regional Director/Manager of Payer Strategies including special projects. Performs other duties as assigned.

Qualifications

• Minimum of 10+ years of experience
• Minimum education requirement of High School Graduate/Equivalent. Bachelor's degree preferred
• Extensive knowledge of and experience with Managed Care contracts on behalf of physician groups with Managed Care organizations representing various payer products, including Medicare Advantage, Managed Medicaid, Exchange, and Commercial HMO/PPO is required.
• Excellent organization, analytic, prioritization and communication skills are required to achieve company objectives with third party payers and internal stakeholders. Must be proficient in using desktop resources such as Excel, Word, and PDF files.
• Ability to work in a cross-functional, matrix environment is essential to achieve measurable results.
• Minimal travel may be required.

About Universal Health Services

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com.

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