Description

Job Overview
Accountable for performing managed care contract negotiations in a timely and effective manner for hospital, physician and the full continuum of services provided by the Fairview system and affiliated providers. Responsible for the appropriate application of underwriting principles in developing recommendations and strategies for rate setting and accepting appropriate levels of financial risk. Maintains effective working relationships with payors, delivery system and affiliated physician network representatives. Ensure negotiated terms and conditions are accurately communicated within Fairview and its' partners.


Responsibilities

• Strategic Planning: Develop goals, measurable objectives and action plans related to managed care contract negotiations for services provided by the Fairview System and affiliated providers, in alignment with Fairview’s financial and operational strategic priorities.
• Department Operations: Participates in planning and providing guidance and support to the processes of the department to ensure customer needs are met in an efficient, effective and timely manner.
• Communication: Responsible for communication within the department and across the Finance Division and Fairview to ensure that information is shared in a timely, open and honest manner that promotes effective and efficient operations and positive interpersonal relationships.
• Problem Solving: Demonstrates ability to identify, analyze and prioritize problems. Demonstrates ability to develop creative solutions/options in both routine and urgent situations. When developing options, recognizes the impact on other departments within the Finance Division and Fairview.
• Leadership: Demonstrates ability to influence key Revenue Management interfaces including health plan representatives, Fairview Finance Division ad Delivery system leadership and affiliated provider representatives.
• Financial Management: Identify and establish process improvement efforts related to creating consistency in financial performance reporting across Fairview Accounting, Reimbursement, Finance and Delivery system departments.
• Teamwork and Conflict Management: Works and collaborates with others to continuously improve the effectiveness of systems and processes related to payor relationships, customer service and care delivery. Handles conflict calmly and effectively using a positive non-threatening approach.

Requirements

• Bachelor of Arts in business, accounting or related field (or 6 years of equivalent work experience)
• 5 years equivalent work experience (in addition to the 6 years in lieu of education)
• 5 years experience in healthcare with some managerial responsibilities (in addition to the 6 years in lieu of education)