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Job Summary

Oversees the development, review, and maintenance of provider network contracts to ensure compliance with regulatory, policy, and organizational standards. Supports the strategic development and sustainability of provider networks through contract preparation, amendments, and provider communications. Accountable for performing provider and network analysis to support contracting and administration activities. Serves as a subject-matter resource by resolving provider and internal inquiries related to contracting and network administration, while engaging in provider contract negotiations and applying a working knowledge of reimbursement structures.

Job Duties

Responsible for development, review and maintenance of contracts according to applicable regulations, policies and standards.

• Responsible for development, review and maintenance of contracts that (i) comply with applicable regulations, policies and standards; and (ii) contain complete and accurate terms and conditions of a business relationship that benefit the System by identifying, reducing, shifting or eliminating risk using department standards, professional discretion and independent judgment.
• Identifies and notifies management of potential operational, legal and financial issues and recommends alternatives throughout document development.
• Develops and manages the maintenance of contract template documents and/or reference materials to be utilized as an initial foundation to assist in the generation and review of commonly requested agreements and coordinates managing and maintaining accurate records of important contracting reference materials.
• Maintains precise documentation of contractual records and retention of resolutions for future situations.
• Manages all database requirements with respect to contracts.
• Monitors contract anniversaries for renewal and coordinates the renewal with the departments and any recommended or department requested renegotiation.
• Provides accurate inventory and filing of current and pending contracts awaiting completion.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. *Relevant experience may be a combination of related work experience and degree obtained (Bachelor’s Degree = 2 years).

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Education

Graduate from Specialty Training Program- (Required), Associate's Degree- (Preferred)

Experience

Minimum of 2 years-Relevant experience* (Required)

Skills

Analytical Thinking; Teamwork; Legal Analysis; Communication; Legal Writing; Customer Service; Multitasking; Healthcare Regulatory Environment

About Geisinger

Founded more than 100 years ago by Abigail Geisinger, the system now includes ten hospital campuses, a 550,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. With nearly 24,000 employees and more than 1,700 employed physicians, Geisinger boosts its hometown economies in Pennsylvania by billions of dollars annually. Learn more at geisinger.org or connect with us on Facebook, Instagram, LinkedIn and Twitter.

Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.

Our Vision & Values

Everything we do is about making better health easier for our patients, our members, our students, our Geisinger family and our communities.

KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.

EXCELLENCE: We treasure colleagues who humbly strive for excellence.

LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.

INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.

SAFETY: We provide a safe environment for our patients and members and the Geisinger family.

Our Benefits

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and prescription coverage.