Highmark Health Lead Contract Management Consultant in Home, Ohio
HM Health Solutions
Job Description :
This job is responsible for coordinating and overseeing day to day Contract Administration Activities for the Organization including but not limited to review, clarify and develop contract language, ensure management queries are promptly and thoroughly addressed, as well as develop and manage departmental procedures that meet company quality and service standard objectives. Support the Director of Strategic Revenue This role will help supervise and mentor four staff.
Supervise and mentor staff of employees who prepare and draft contracts for Commercial Customers.This position must identify trends within the contract department and develop solutions to problems by providing supervision, technical assistance, guidance, support and training for contract staff.
Proactively manage and aggressively monitor all in-scope contracts and agreements: Monitor contracts, terms, service levels, earn-backs, penalties, etc. through metrics, dashboards and frequent reporting; Manage legal / contractual relationships and related issues and risks.
Coordinate and liaise with other Highmark functions and related external constituents: Coordinate with internal and external legal, finance, audit, IT, business, operations, regulatory, compliance, privacy, and other units as necessary for contract related tasks; Proactively follow-up on open action items related to program level issues; Collaboratively work with other functions to ensure timely handling of all contractual issues, disputes, escalations, etc.; Coordinate with other functions to actively manage identified contract risks.
Manage contract administration infrastructure, including: Design and oversee execution of all contract administration related tools, systems, processes, etc.; Evaluate, assess and recommend ongoing improvements to the contract administration function (including all related tools, systems, processes, etc.).
Communicate monthly on Department goals and metrics, including proposing steps for driving improved performance.Support annual goal setting.
Stand in for Director, Strategic Revenue Management as needed.
Other duties as assigned or requested.
- Master's Degree in Business Management, Law or Economics
- Juris Doctorate
5 years in Contract Management
3 years in a leadership role
3 years of Negotiation
LICENSES or CERTIFICATIONS
Significant experience in contract and commercial management – i.e., development, execution and management of strategic
client contracts, business cases, scenario planning / modeling and financial / commercial risk analysis
Ability to manage through ambiguity and a matrixed environment
Good Commercial and legal understanding of contracts
Excellent relationship building and relationship management skills
Excellent communication and presentation skills (both oral and written
Ability to manage and monitor outstanding tasks
Excellent drafting skills for structuring ideas in a clear and concise manner
Strong project management and effective time management skills
Language (Other than English):
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Teaches / trains others regularly
Travel regularly from the office to various work sites or from site-to-site
Works primarily out-of-the office selling products/services (sales employees)
Physical work site required
Lifting: up to 10 pounds
Lifting: 10 to 25 pounds
Lifting: 25 to 50 pounds
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
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Req ID: J190549
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