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Highmark Health Lead Contract Management Consultant in Home, Ohio

Company :

HM Health Solutions

Job Description :

JOB SUMMARY

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.

ESSENTIAL RESPONSIBILITIES

  • 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.

EDUCATION

Required

  • Master's Degree in Business Management, Law or Economics

Substitutions

  • None

Preferred

  • Juris Doctorate

EXPERIENCE

Required

  • 5 years in Contract Management

  • 3 years in a leadership role

  • 3 years of Negotiation

Preferred

  • None

LICENSES or CERTIFICATIONS

Required

  • None

Preferred

  • None

SKILLS

  • 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):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

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.

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf )

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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Req ID: J190549

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