Sr Contract Specialist

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

Sr. Contract Specialist

Job Summary:

This role will negotiate and manage high performing provider and vendor partnerships. The Senior 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 onboarding and ongoing relationships; ensure all necessary documentation and information are included and maintained.
  • Draft and revise contracting language 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.
  • Perform market research and analysis to facilitate successful contract negotiation.
  • Define, initiate, and direct financial analyses and operational reporting for assigned vendor and provider agreements.
  • Lead, manage, and track ongoing financial and operational success of designated partnership.
  • Develop and initiate corrective action plans or agreement modifications where necessary, coordinating with internal teams.
  • Initiate and lead meetings with internal and external contacts, including executive management, to review vendor and provider agreement performance data and scorecards, and partnership strategy.
  • Research state regulations and statutes, review of contracts and Requests for Proposal (RFPs), and development of appropriate language to support new products/markets to support new business needs.

Required Knowledge, Skills and Abilities:

  • Bachelor’s degree in Finance, Healthcare Administration, Business Administration, or related field or equivalent experience.
  • 4+ 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 at senior levels.
  • Experience with health care provider negotiations for self-insured plans including Reference Based Pricing.
  • Knowledge of Javelina benefits administration software preferred.
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