Contract Development Manager - Managed Care Contracting

Compensation: $89,770 - $146,055/year

Benefits available for eligible positions include: 100% tuition assistance, wellness initiatives, generous paid time off, paid parental leave, Public Service Loan Forgiveness Program eligible employer, plus more. In addition to our many benefits and perks , UAB Medicine provides a variety of resources to support employees both personally and professionally.

Work with the Best at UAB Medicine
UAB Medicine is Alabama's largest single-site employer and operates over 1,200 beds and over 200 clinics in Birmingham , Alabama. When you become part of UAB Medicine, you join a nationally ranked academic medical center committed to education and advancing medical science through research.

- U.S. News & World Report 's Best Hospitals, #1 in Alabama
- America's No. 1 Best Large Employer, Forbes , 2021
- Level I Trauma Center
- NCI-Designated Comprehensive Cancer Center, Comprehensive Transplant Institute, Comprehensive Stroke Center

Our success in patient care, innovation, and education is a direct result of our supportive and inclusive culture. Whether you are looking to start your career, fast-track your development, or diversify your skills, UAB Medicine offers avenues for advancement that other employers cannot match.

To align business objectives with employees and management in designated departments. To formulate partnerships across the HR function to deliver value - added service to management and employees that reflects the business objectives of the organization. To maintain an effective level of business literacy about the business unit's financial position, its midrange plans, its culture and its competitors. To participate in department and organizational process improvement initiatives, change management and special projects. To lead programs and initiatives, champion the organization's culture and develop practical solutions to achieve business objectives.

General Responsibilities

Contributes to the financial success of UAB Health System by developing and negotiating both Medicare
Advantage and Commercial managed care contracts for all UAB Health System provider entities and
affiliates. Provides financial, payer contracting and management support to member facilities. Contracts
with Medical and other Insurance Payers for immunotherapy procedures, solid organ and bone marrow
transplants, general medical, workers compensation, psychiatry, and physician services. Assists the
hospitals and providers with payment disputes with payers. Compiles clinical data to promote UAB
Health System services. Supervises clerical staff. Manages the contractual relationship between UAB
Health System and various Veterans Administration facilities.

Key Duties & Responsibilities

1. Develops pricing strategies to maintain UAB's competitiveness in the regional and national
marketplace and to generate appropriate margins.
2. Serves as primary contact with prospects (i.e., PPO's, PHO's, HMO's indemnity insurance
companies) to initiate quality, high volume direct contracts with various commercial payers for all
UAB Health System members and affiliates.
3. Negotiates contractual and reimbursement terms with market payers.
4. Manages existing contracts to ensure negotiated rates are achieved.
5. Serves as the primary contact and negotiates single case agreements with non-contracted payers
and with contracted payers for non-contracted and typically highly specialized services offered by
UAB Health System.
6. Facilitates approval and signature process for contracts and single case agreements.
7. Negotiates and develops delegated credentialing agreements with contracted payers.
8. Develops, maintains and disseminates monthly provider rosters to contracted payers including
quarterly attestation of rosters for all UAB Health System members and affiliates.
9. Resolves provider enrollment issues with contracted payers.
10. Completes annual facility credentialing and re-credentialing applications for managed care clients.
11. Develops and negotiates preferred provider service agreements.
12. Initiates UAB's clinical response to prospects' request for proposals and information, requesting and
consolidating data from appropriate Hospital and Professional personnel.
13. Accesses internal databases to retrieve, organize and prepare data for all payers to review existing
contract performance and to negotiate future contracts.
14. Reports and presents data to UAB Health System members and affiliates on payer performance
including contracted payers and non-contracted payers.
15. Establishes, promotes, and maintains relationships throughout UAB Health System including UAB
affiliates in support of organizational and divisional objectives.
16. Establishes and maintains relationships with payers and serves as a point of contact for various
payers for contractual disputes and denials.
17. Establishes and facilitates monthly joint operations committee meetings with payers and UAB
Health System and affiliates to assist with disputes.
18. Fields questions and answers or follows-up to assure appropriate staff responds effectively.
19. Upgrades and amends existing agreements to include services not currently under contract.
20. Stays abreast of product developments and pricing at competitor medical centers. Reports
developments in the marketplace to the Vice President. Attends conferences, participates in
professional organizations, and/or reads publications to update knowledge of trends and product
development in the field.
21. Responds creatively and effectively to special projects assigned by the Vice President of Managed
Care Contracting.
22. Assists in the development of departmental goals, executing projects to achieve these goals, and
working closely with others within the organization to continuously monitor department performance.
23. Acts in a caring and courteous manner towards all patients, guests, visitors, students and staff.
24. Performs other duties as assigned.

Qualifications

Minimum Requirements

Bachelor's degree in Business, Marketing or a related field and five (5) years of related experience
required. Work experience may NOT substitute for education requirement.

Knowledge / Skills / Abilities

Knowledge of financial analysis protocols
Knowledge of billing and collections
Negotiation skills
Ability to work as part of a team