About the Company: Always Compassionate Health provides the highest quality of community home-based services, combined with exceptional compassion and innovation to enhance each patient's quality of life. By bringing together several of the top home health agencies in the state, we have become one of New York's leading providers with strategically placed offices that serve thousands of clients every day.
About the Role: As a key member of the Always Compassionate Health management team, the Manager of Contracting and Network Development is responsible for the development, negotiation, and maintenance of all healthcare contracts. This role is critical in supporting business growth by developing new payer contracts and expanding services with existing payers. The Manager of Contracting and Network Development will lead the entire contract lifecycle, from pre-contract negotiations to post-signature management, working closely with the COO and internal departments to ensure the organization is informed of contract updates, changes to medical and billing policies, and compliance requirements.
Responsibilities:
Contract Development & Negotiation:
- Develop, negotiate, and maintain contracts with all payers, identifying gaps in our payer base and supporting expansion into new markets.
- Actively participate in establishing strategic business goals alongside the Leadership Team.
- Analyze cost and utilization data to ensure contractual arrangements meet financial targets and legal/regulatory compliance.
Contract Management:
- Facilitate the approval process of all contract documents, ensuring accuracy from pre-contract through post-signature.
- Develop and maintain processes for timely notification of critical contract events (e.g., renewals, termination dates).
- Maintain and nurture relationships with contracted providers, ensuring that contract language is current, and fee schedules are reviewed annually.
Internal Communication & Coordination:
- Coordinate and communicate contractual terms to the billing department, ensuring the team is informed of changes to medical and billing policies.
- Develop and maintain reports on the status of all contracts, providing bi-weekly updates and periodic assessments of assigned networks.
- Ensure accurate data entry of contract specifications and terms into the database, maintaining completeness of all contracting processes.
Contract Administration & Provider Relations:
- Represent Always Compassionate Health professionally when interacting with providers and external stakeholders.
- Assist in all aspects of contract administration, as well as contribute to special projects and contract-related initiatives.
Qualifications:
Experience:
- Minimum of 5 years of relevant experience in healthcare, hospital, clinical, physician, primary care, or health system contracting.
- Proven expertise in contract negotiation, healthcare industry standards, and legal and regulatory requirements.
Education:
- Bachelor's Degree, Masters preferred
Skills:
- Exceptional provider partnership and interpersonal skills.
- Strong contract negotiation skills and ability to develop and deliver presentations to internal and external stakeholders.
- Ability to multi-task, pay close attention to detail, and remain flexible in a fast-paced, growing organization.
- Strong organizational and analytical skills.
- Proficiency in MS Office Suite, including PowerPoint; strong research skills using social media and internet-based tools.
Work Style:
- Results-driven, persistent, and able to work independently with initiative while seeking guidance when appropriate.
- Willingness to actively participate in all aspects of contract administration, with a hands-on approach rather than a lead-and-direct staff role.
Pay range: $95,000- $100,000 annually
Equal Opportunity Statement: Always Compassionate Health is an equal opportunity employer and welcomes applications from all qualified candidates. We do not discriminate based on race, color, religion, sex, gender identity, sexual orientation, national origin, age, disability, or any other non-merit-based factors. All employment decisions are based on relevant criteria, including experience and qualifications.