Easter Seals Jobs

RESPONSIBILITIES

I. JOB SUMMARY/RESPONSIBILITIES:

• Coordinates and administers contracts with healthcare insurance providers for The Queen’s Health Systems (QHS).

• Implements and monitors contracts for compliance; analyzes contracts for financial effectiveness and to make recommendations to maximize cost and quality of care.

• Serves as a liaison with third party payors to promote the services of QHS and to improve provider relations.

II. TYPICAL PHYSICAL DEMANDS:

• Essential: sitting, seeing, hearing, speaking, repetitive arm/hand motions, static gripping of an object for prolonged periods, frequent gripping of an object.

• Continuous: finger dexterity.

• Operates computer, calculator, telephone, fax and printer.

III. TYPICAL WORKING CONDITIONS:

• Not substantially subjected to adverse environmental conditions.

IV. MINIMUM QUALIFICATIONS:

A. EDUCATION/CERTIFICATION AND LICENSURE:

• Bachelor’s degree in Business, Finance, or Health Care Administration; OR, four (4) years experience in healthcare provider contract coordination and administration may be substituted for educational requirement.

• Master’s degree in related field preferred.

B. EXPERIENCE:

• In addition to the educational requirement, three (3) years healthcare insurance provider contract negotiations experience, preferably in a comparable organization.

• Prior supervisory/leadership experience.

• Experience to demonstrate:

o Ability to work independently and effectively with internal and external personnel at various levels of responsibility.

o Knowledge of contracts, financial analysis methods, accounting principles, and health care delivery systems.

o Knowledge of requirements specific to government-funded health care program and third party payer reimbursement.

Equal Opportunity Employer/Disability/Vet