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PSR Contracts Specialist

Company: CommonSpirit Health
Location: Englewood
Posted on: March 19, 2023

Job Description:

**PSR Contracts Specialist**CommonSpirit HealthEnglewood, ColoradoThe posted compensation range of $26.51 - $38.44 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.**Requisition ID** 2023-293305 **Employment Type** Full Time **Department** Payer Relations **Hours/Pay Period** 80 **Shift** Day **Weekly Schedule** Monday - Friday **Remote** Yes **Category** Managed Care**Overview**CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.**Responsibilities****Job Summary / Purpose**Works closely with the Contract Manager and other PSR leadership, to support the negotiation of terms and conditions for Managed Care payer contracts for facility, professional, and ancillary entities. Primary focus of contracting and negotiation support is to ensure the terms and conditions of the payer contract adhere to the CommonSpirit Health Standards and Guidelines, represent industry best practices for Fee for Service and value-based arrangements, and align with operational objectives _._**Essential Key Responsibilities**+ Supports the review of contract proposals, language and rate sheets to ensure accuracy, completeness and in compliance with CommonSpirit Health standards and guidelines.+ Recommends corrections, changes and any language opportunities in documents to PSR leadership+ Assists PSR leadership with developing and updating project plan documents, meeting minutes and action item follow up related to contract payers renewals and planning.+ Ensures all amendments, letters of agreement (LOA), memorandum of understanding (MOU) and other contract documents are signed by the appropriate parties and provide the fully executed contract documents to the Contract Administration team.+ Ensures contract documents include rate escalators and obtain updated rate tables fee schedules and all contracting materials are stored according to PSR and/or Legal Policies, and ensures information is made available to or disseminated to key stakeholders of the negotiation process.+ Coordinates with other PSR team members to facilitate credentialing and re-credentialing of CSH entities.+ Maintains complete and up to date inventory of all CSH hospitals/specialty hospitals to include demographic information, license, NPI, Tax ID information, etc.+ Assists in communicating and operationalizing contract terms, amendments, and policy terms.+ Maintains contract payer knowledge base to include financial statements/reports, news articles and other information.+ Adheres to all established contracting guidelines. Contracting accountability for negotiation support include hospital, physician, and ancillary services.**Qualifications****Education and Experience:**+ Bachelor's degree or equivalent education and experience+ Minimum of three (3) years' negotiation or contracting experience in a healthcare related field+ Knowledge and experience in reimbursement, the financial aspects of contracting and managed care operations+ Strength in effective negotiation and project management skills+ Excellent written and verbal communication skills+ Expertise and experience with Excel and Word, Google Suite and/or similar applications**Equal Opportunity**CommonSpirit Health--- is an Equal Opportunity/Affirmative Action employer committed toa diverse and inclusive workforce. All qualified applicants will be considered foremployment without regard to race, color, religion, sex, sexual orientation, genderidentity, national origin, age, disability, marital status, parental status,ancestry, veteran status, genetic information, or any other characteristic protectedby law. For more information about your EEO rights as an applicant,pleaseclick here. (\_0/EEOC\_KnowYourRightsEnglish.pdf)CommonSpirit Health--- will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c).External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA).CommonSpirit Health--- participates in E-Verify.Equal OpportunityCommonSpirit Health--- is an Equal Opportunity/ Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law.

Keywords: CommonSpirit Health, Denver , PSR Contracts Specialist, Other , Englewood, Colorado

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