PAYER CONTRACT MANAGEMENT CONSULTANT.
Job Title
PAYER CONTRACT MANAGEMENT CONSULTANT.
Job Family
Function
CFO
Job Code
30008781
Reports to Job
Business Unit Lead
Job Description Summary
The Payer Contract Management Consultant represents the organization in high.-level negotiations and strategic partnerships which includes but not limieted to: analyzes market trends, regulatory changes, and financial data to guide strategic decision.-making on pricing and payment structures and enhance revenue cycle processs.
Strategic Roles & Responsibilities %
40
Strategic Roles & Responsibilities
- Provides strategic insights and recommendations to Ensure financial sustainability and enhance payer relationshipsWorks closely with senior leadership and crossfunctional teams to address complex payerrelated challengesRepresents the organization in highlevel negotiations and strategic partnerships with payers
Operational Roles & Responsibilities %
60
Operational Roles & Responsibilities
- Manage and Negotiatehighvalue payer contract and ensures they are finalized accurately
- Analyzes Healthcare and insurance market trends regulatory changes and financial data to guide strategic decisionmaking on pricing and payment structures
Minimum Education Required
Master’s degree in healthcare, Healthcare Administration, or Degree in Medicine or related field
Professional Certifications Required
(certification in revenue cycle management or case management is preferred)
Years of Experience
Minimum 15 years' experience in the healthcare insurance market or healthcare pricing and contracting experience
Languages
English:Fully Proficient ; Arabic:Basic
Functional Competencies
- Due Diligence
- Audit Reporting
- Data Collection
Core Competencies
- Excellence
- Integrity
- Accountability
- Cybersecurity
- Person-Centered Care
Acknowledgement
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.