Contracts Manager - Contracts and Reimbursement

Hawaii Pacific Health

Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the Pacific Region with high quality, compassionate care. Its four medical centers - Kapi'olani, Pali Momi, Straub and Wilcox - specialize in innovative programs in women’s health, pediatric care, cardiovascular services, cancer care, bone and joint services and more. Hawai'i Pacific Health is recognized nationally for its excellence in patient care and the use of electronic health records to improve quality and patient safety.

The Contracts and Reimbursement team works with Business Services, Admitting, Finance, Case Management, Clinical Departments and payors to facilitate recovery of payor accounts and enhance payor relations. These dedicated professionals negotiate and maintain contracts with third party payors, review and process contract documents, transfer payor terms and conditions into the appropriate reimbursement system, and conduct analysis and reporting on payor activity.

If you are an experienced contracts negotiator and manager, you can help to uphold Hawai‘i Pacific Health’s excellence in operational and financial management. As the Contracts Manager, you will negotiate and maintain contracts with third party payors; work with a variety of commercial and public payors to develop strong collaborative relationships; and communicate with various internal departments to ensure effective negotiations and operationalizing of payor contracts. We are looking for someone with excellent business and communication skills who shares our commitment to delivering the highest quality health care to Hawai‘i’s people.

Location: Harbor Court

Work Schedule: Day - 8 Hours

Work Type: Full Time Regular

FTE: 1.000000

Bargaining Unit: Non-Bargaining

Exempt: Yes

Minimum Qualifications: Bachelor's degree in Health Care Administration, Business, or related field and/or equivalent combination of education, training and experience. Three (3) years experience in health care accounting, finance, or contracting.

Preferred Qualifications: Strong working knowledge of Microsoft Word, Excel and PowerPoint. Familiarity with medical coding including DRGs, ICD9 codes and HCPCS codes. Experience with analysis and negotiation of health plan and government programs for hospitals, physicians or other health care providers. Knowledge of Accountable Care Organization concepts, which includes managing the quality and cost of health care services for defined patient populations.

EOE/AA/Disabled/Vets

Hawai‘i Pacific Health offers a comprehensive and competitive total rewards package that includes pay and benefits. Rate of pay for selected candidates will be determined by various factors including knowledge, skills, abilities, relevant experience and training, as well as internal peer equity.

Position Contracts Manager - Contracts and Reimbursement

Location Hawaii Pacific Health, Honolulu, HI | Finance | Full Time Regular

Req ID 28188

Pay Range: 82,118 - 111,862 USD per year

Category: Finance

Job Type: Full Time Regular

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Confirmed an hour ago. Posted 30+ days ago.

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