Contract Specialist

  • Location: Tampa, Florida
  • Type: Direct Hire
  • Job #10255

Contract Specialist
(Level I)

(Position can he on-site or hybrid).

Job Summary:

This role will support negotiation and management of high performing provider and vendor partnerships. The Contract Specialist will engage physician, hospital, and other service providers to sign network and / or pricing participation agreements.

Duties and Responsibilities:

  • Negotiate vendor or provider contracts and manage on-boarding and ongoing relationships; ensure all necessary documentation and information are included and maintained.
  • Suggest revisions to contracting language for review to support mandated language, product requirements, language deviations received from negotiators or providers, and other contract language requests.
  • Facilitate and oversee provider set-up based on contract language to ensure accurate claims adjudication.
  • Assist with market research and analysis to facilitate successful contract negotiation.
  • Define, initiate, and direct financial analyses and operational reporting for assigned vendor and provider agreements.
  • Support ongoing financial and operational success of designated partnership.
  • Develop and initiate corrective action plans or agreement modifications where necessary, coordinating with internal teams.
  • Participate in review of vendor and provider agreement performance data and scorecards, and partnership strategy.
  • Aid management in new business needs including research of state regulations and statutes, review of contracts and Requests for Proposal (RFPs), and development of appropriate language to support new products/markets.

Required Knowledge, Skills and Abilities:

  • Bachelor’s degree in Finance, Healthcare Administration, Business Administration, or related field or equivalent experience.
  • 2+ years of contracting, contract analysis, provider relations or provider experience in a hospital or other healthcare setting.
  • Experience negotiating contracts with successful outcomes and measurable financial results.
  • Experience with presenting and communicating negotiation strategies and results.
  • Experience with health care provider negotiations for self-insured plans; Reference Based pricing experience preferred.
  • Knowledge of Javelina benefits administration software preferred.
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