JOB SUMMARY:
Obtains, negotiates, implements and administers Group Health payer contracts in accordance with company and department policies and procedures, applicable laws and customer requirements, ensuring support of the growth of revenue of CHS group health strategic initiative.

MAJOR DUTIES AND RESPONSIBILITIES:

• Contacts payers to obtain payer contracts, negotiates and finalizes rates and contract language with payer representative. Implements and maintains all Group Health contracts.
• Monitors current agreements for recommendation on timely negotiations and modifications and additions.
• Evaluates new contract proposals from payers.
• Supports written and verbal communications to payers.
• Contacts and/or works collaboratively Customer Support Services and payer personnel to provide or obtain information and resolve conflicts. Coordinates with Central Billing Office and other field staff on activities related to payer contracting, collections and operational issues. Assists other departments in understanding payer contracts and educates internal personnel on managed care and group health principals.
• Assists VP GHMCC with the implementation of processes and organizational structure for the Group Health Department to improve workflow and efficiency.
• Assists with hiring and training Group Health Department staff.

Concentra's Data Protection Commitment
* Concentra is committed to protect patient data and to ensure privacy of personal and medical information.
* Every Concentra colleague has the responsibility to adhere to data protection principles.
* If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.