Health Plan Contract Manager

Are you in search of a fulfilling and meaningful position? Do you want to work for an organization that promotes growth and development?

Here at Men's Health Foundation, we envision a world where inequity and stigma do not separate people from healthcare.

Why Men's Health Foundation?

Men's Health Foundation is seeking compassionate, mission-driven individuals. We believe that by reimagining how healthcare is delivered, we can help create greater health equity for those most at risk and break down barriers to care. We welcome all backgrounds, gender identities, and expressions.

We recognize our staff as the heart of our organization and seek to provide a generous and competitive benefits package to support our employee's well-being. We offer the following:

• Medical, Dental, Vision, Life, and LTD insurance (may be eligible on the 1st of the month following the date of hire)
• 12 Paid Holidays (including one mental health day)
• 401(k) Retirement plan (may be eligible for employer matching up to 4% following completion of 90th day of employment)
• Flexible Spending Account (FSA)
• 40 hours of sick pay (following completion of 90th day of employment)
• 120 hours of PTO accrued within the 1st year of employment

We seek team members who embrace and champion diversity, as our work within the LGBTQ+ community promotes positive sexuality and inclusivity. Candidates should be comfortable with exposure to imagery, events, and materials that reflect our culture of acceptance and expression, ensuring alignment with our values

Position Overview

The Health Plan Contract Manager will report to the chief financial officer and be responsible for initiating, negotiating, and managing agreements with health plans to ensure optimal reimbursement rates and compliance with regulatory standards. Your expertise will help our practice maximize its financial performance while maintaining strong relationships with payers.

Essential Functions and Key Responsibilities:

• Strategic Contract Negotiation: Lead negotiations with health insurance plans to secure terms that support the foundation's financial health and service delivery goals. Utilize insights from industry trends to position our practice advantageously within the healthcare market.
• Compliance and Integration: Ensure contract terms comply with legal and regulatory standards, and are fully integrated with our clinical operations, enhancing the efficacy and efficiency of health service delivery.
• Collaborative Relationship Management: Develop and maintain strategic relationships with insurance providers, fostering partnerships that support both immediate and long-term organizational goals.
• Operational and Financial Oversight: Monitor and manage existing contracts, conduct periodic reviews to ensure continued compliance and efficacy, and adjust strategies as necessary in response to internal needs and external changes in the healthcare landscape.
• Data-Driven Decision Making: Employ data analytics to assess contract performance and inform strategic decisions, ensuring alignment with the foundation's mission and financial objectives. Prepare detailed reports for senior management, highlighting contracting activities, outcomes, and strategic recommendations.
• Policy Development and Team Leadership: Guide the development of policies related to healthcare contracting and payer relations. Mentor and lead teams, enhancing their capabilities in contract management and compliance.
• Other Duties as assigned.

Qualifications:

• Bachelor's degree in Business Administration, Healthcare Management, or related field; Master's degree preferred.
• Minimum of 5 years of experience in healthcare contracting or managed care.
• Strong negotiation, analytical, and problem-solving skills.
• Excellent communication and interpersonal abilities.
• Knowledge of healthcare regulations and reimbursement methodologies.
• Proficiency in Microsoft Office Suite and contract management software.