North American Partners in Anesthesia

  • Managed Care Contractor

    Job Locations US-NY-Melville
    # of Openings
    1
    Category
    Managed Care Review
  • Overview

    For more than 30 years NAPA has been providing the highest quality of anesthesia and pain management care for our patients. NAPA is our highly acclaimed medical practice management organization that is well known for having the most respected clinical staff, management leadership and evidence-based quality initiatives in the industry

    The Location

    Melville, NY

    Position Requirements

    We currently have an opening for a Managed Care Contractor in our Melville, NY office.  In this role the Managed Care Contractor, will report to the Director of Managed Care Contracting.  Responsibilities will include:

    • Assist in the strategic development and implementation of Managed Care, IPA, and Payor Contracts on a national, regional, and local level.
    • Negotiate and renegotiate managed care and payor contracts consistent with contracting goals.
    • Development of business decision support materials and proposals.
    • Review and analysis of contract language and reimbursement terms in existing and potential managed care agreements.
    • Cultivate relationships and maintain communications with health plans and payors.
    • Prepare various reports to track and monitor financial performance of contracts.
    • Assist to maintain and organize the managed care contracting database, disseminate contract rates and information to designated individuals for adherence to contract terms and definitions.
    • Assist with the investigation and evaluation of payor markets in different states (payor mix, reimbursement issues, and state regulatory statutes).
    • Prepare reports to review, assess and analyze utilization trends and overall performance of group contracts.
    • Development and ownership of financial models to support contracting decisions, including modeling and analysis of innovative contracts.
    • Demonstrate a strong ability to work in a team environment, promoting cross functional collaboration and creating strong morale in the team, through open dialogue and a cooperative atmosphere.

     

     

    Additional Skills Required:

     

    • Knowledge of current healthcare delivery systems, managed health care, and current regulations;
    • Willingness to travel and work to “get the job done”;
    • Strong negotiation, interpersonal skills, including written, verbal and analytical; ability to establish effective communications with internal and external stakeholders.
    • Be a motivated and proactive strategist with the ability to adhere to deadlines; professional business sense and presentation skills; and must be able to take initiative and be a “self-starter” with the ability to prioritize work with minimal supervision.
    • Strong knowledge of reimbursement methodology types (i.e. case rates; fee for service etc);
    • Must be proficient in creating and utilizing MS Excel spreadsheets and all other MS Office programs;
    • Bachelor's Degree required, and minimum of 10 years related experience.

    Compensation & Benefits

    North American Partners in Anesthesia (NAPA) offers excellent salary, benefits and paid time off.

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