Cleveland Clinic logo
Cleveland Clinic

Your source for health news, tips and information from one of the nation’s top hospitals.

Senior Contract Manager - Managed Care

Location

United States

Posted

58 days ago

Salary

0

Seniority

Lead

No structured requirement data.

Job Description

Senior Contract Manager - Managed Care

Cleveland Clinic

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title Senior Contract Manager - Managed Care Location Cleveland Facility Remote Location Department Ohio Market Finance-Finance Job Code T34033 Shift Days Schedule 8:00am-5:00pm Job Summary Job Details Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. As a Senior International Contract Manager, you will negotiate contracts on behalf of CCF within an assigned business area, evaluate new business opportunities, and manage the administrative, legal, operational, and financial aspects of contract negotiations. In this role, you will contribute to contracting strategy development, including business planning and implementation. A caregiver in this position works remotely from 8:00 a.m. -- 5:00 p.m. This role is required to meet with the team annually in Cleveland for a half-day, on-site meeting. Seeking candidates who reside in Ohio, Florida or Nevada. A caregiver who excels in this role will: - Negotiate contracts on behalf of CCF within assigned business area. - Evaluate new business opportunities. - Manage administrative, legal, operational and financial issues related to contact negotiation. - Participate in contracting strategy development including business planning and implementation issues. - Prepare, coordinate and manage contract negotiation process. - Identify and evaluate opportunities and financial terms for assigned contracts. - Assess potential legal risk in the context of contract provisions. - Develop appropriate legal and financial contract language. - Coordinate and participate in legal review. - Prepare responses, letters of agreement and key contract provisions. - Prepare and implement strategies for business growth. - Identify and target specific areas for development. - Initiate and develop relationships. - Track history and progress. - Serve as the principal contact for third-party payers and internal clients in the development, negotiation and review of proposed agreements. - Review contractual performance of both parties to ensure compliance with terms and to identify conflicts or changes requiring resolution at contract renewal - Develop methodology and review models that consistently and objectively evaluate the financial impact of proposals. - Update methodologies as contract issues change. - Prepare responses to Request for Proposals (RFP) as required. Minimum qualifications for the ideal future caregiver include: - Bachelor’s Degree in healthcare, finance, marketing or related field and five years of experience in contract management - OR High School Diploma / GED or equivalent and 9 years of related experience - Strong background involving managed care contracting with health systems to include hospital, professional, ancillary services - Experience with Fee for Service and Value Based negotiations for Commercial, Medicaid, Medicare Advantage and Marketplace plan types - Understanding of Revenue Cycle and Managed Care Business Operations - Managed care experience - Experience across multiple service lines (e.g., heart and vascular, transplant, women’s health) - Health system–based managed care contracting experience - Experience with claims payment methodologies and operations - Hands-on experience negotiating and managing health insurance contracts - Working knowledge of contemporary healthcare policies, practices, operations and reimbursement methodologies - Knowledge of physician practice management, hospital administration and operations - Rate and contract negotiation and influencing skills Preferred qualifications for the ideal future caregiver include: - Master's Degree - 10 years of experience in contract management - Certified Public Accountant (CPA) or Certified Management Accountant (CMA) (for Finance-related contracts) - Strategic contracting experience - Experience with transplant and high-cost drug negotiations Physical Requirements: - Ability to communicate and exchange accurate information. - Ability to perform work in a stationary position for extended periods. - Ability to work with physical records or operate a computer or other office equipment. - In some locations, ability to travel throughout the hospital system. - In some locations ability to move up to 25 lbs. Personal Protective Equipment: - Follows Standard Precautions using personal protective equipment as required for procedures. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/ Please review the Equal Employment Opportunity poster. Cleveland Clinic is pleased to be an equal employment opportunity employer.

Related Categories

Related Job Pages

More Manager Jobs

Johnson & Johnson Innovative Medicine logo

Field Market Access Manager (3 positions: Warsaw, Poznan, Krakow)

Johnson & Johnson Innovative Medicine

At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity.

Manager58 days ago
Full TimeRemoteTeam 10,001

At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at jnj.com. As guided by Our Credo, Johnson & Johnson is responsible to our employees who work with us throughout the world. We provide an inclusive work environment where each person is considered as an individual. At Johnson & Johnson, we respect the diversity and dignity of our employees and recognize their merit. Job Function: Market Access Job Sub Function: Health Economics Market Access Job Category: Professional All Job Posting Locations: Warsaw, Masovian, Poland Job Description: About Innovative Medicine Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow. Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way. Learn more at https://www.jnj.com/innovative-medicine About the Role Johnson & Johnson Innovative Medicine is expanding and growing our Market Access Team. As part of this growth, we are seeking to hire three Field Access Managers. This is a field-based role available in multiple cities within Poland. While specific cities are listed in the Locations section for reference, please note that they are examples only and do not limit your application. We invite candidates from various locations to apply and encourage you to review the following cities where this opportunity is available: 1. Warsaw + Olsztyn + Białystok + Lublin (candidate’s residence: Warsaw). 2. Poznań + Gdańsk + Szczecin + Zielona Góra + optionally Bydgoszcz (candidate’s residence: Poznań/Gdańsk). 3. Rzeszów + Katowice + Kraków + Łódź (candidate’s residence: Kraków/Katowice). Key Responsibilities: General - Establish and maintain relationships with key hospitals to quickly identify access barriers, needs, trends and opportunities to collaborate; develop strategic plan and act on it to improve access to J&J products. - Constantly monitor the execution of drug program, spendings and any changes and movements – develop a plan to optimize it and support execution through collaboration with key external and internal stakeholders. - Monitoring the external environment, legislation changes and its impact on the local hospital level. - Provide business and market information analysis about the hospital market and its development (to inform strategic decisions). - Support national reimbursement process by collecting necessary data and insights. - Provide training and upscale internal team to have a proper understanding and knowledge about the HC system, constant changes and implications. Specific - Making sure the right budgets are allocated for a given drug program J&J has medicines in (before reimbursement and within entire product life cycle), support the shifts of the budget between drug programs and hospitals in compliance with local regulations – cross-functional collaboration with local NHFs, hospital Directors (administration) and national & voivodship’s consultants. - Securing patients access at Day 1 of the validity of the reimbursement decision (working with public procurement departments of the hospitals). - Ensuring proper settlement of drug programs related to J&J drugs and associated RSS mechanisms at the hospital level. - Support for the hospital administration in the field of funding mechanism and settlement for diagnostics, services and additional procedures relevant to J&J products (making sure these are adequately financially evaluated – and drive the right evaluation, if necessary, in cooperation with National Consultants and NHF). Qualifications: - Minimum 3 years of experience in Field Market Access and proven track record of independently managing projects. - Ability to understand the organizational strategy and apply to product pricing strategies with excellent knowledge of NHF regulations and healthcare process for hospital funding. - Demonstrate a comprehensive knowledge of the Polish HC system, market dynamics, policy, pricing and access pathways, including its processes and key stakeholders. - Solid knowledge of Pharmaceutical Law, Reimbursement Law, NHF regulations, Public Procurement Law, principles of hospital procedures settlement. - proven track record of working with external clients (hospital administrations, NHF, etc.). - Strong analytical skills, ability to drive conclusions informing strategic decisions from the dataset. - Strong with Excel and Point, proven track of working with databases. - Fluent English spoken and written. The anticipated base pay range for this position is PLN 231,000 to PLN 399,050. In addition to base pay, we offer the following benefits*: an annual bonus with set target (% of pay) depending on pay grade / location, where the actual amount is based on the employees’ and companies’ performance of the previous calendar year, or sales commissions. Moreover, we offer vacation days, parental leave for a minimum of 12 weeks, bereavement leave, caregiver leave, volunteer leave, well-being reimbursement, programs for financial, physical and mental health. We also offer service anniversary and recognition awards, and subject to the terms of their respective plans, employees - and in some location’s eligible dependents - can participate in several insurance plans. For more information, visit Employee benefits | Supporting well-being & career growth | Johnson & Johnson Careers. *This is for informative purposes only. Amounts and actual benefits may vary by location and are subject to change. Required Skills: Preferred Skills:

Poland
231K - 399K / year

Customer Business Manager

Winland Foods

Founded in 2022 and headquartered in Oak Brook, Illinois, Winland Foods is a global food manufacturer that produces private-label and branded products across 12

Manager58 days ago

The Customer Business Manager (CBM) will drive profitable growth and strengthen business relationships with assigned national foodservice account customers by developing and executing strategic sales plans, identifying new business opportunities, and ensuring the effective management of account operations. Employee Type: Full time Location: US Works from Home Job Type: Field Sales Job Posting Title: Customer Business Manager Job Description: Schedule: Remote with Travel up to 50% Work Location: Remote Benefits: Medical, Dental, Vision, 401(k) with match, STD/LTD/AD&D/Life, HSA, FSA, EAP, Hospital indemnity, Accident Insurance, Identity and Fraud Protection Plan, Legal, and Critical Illness. Salary, based on experience and other qualifications: $93k to $158k Annually with additional bonus potential Roles & Responsibilities: - Leads development of assigned national account customer business, taking ownership of account specific strategies to drive profitable growth. - Owns creation and execution of national account customer specific annual sales plans, including forecasted volume growth, product distribution, innovation penetration goals, marketing activation strategy, and customer business review presentations (existing and new). - Uses market and product knowledge to source and develop incremental business through prospecting, leads, and referrals. - Delivers business improvements against customer-supplier scorecard metrics. - Cultivates and maintains effective business relationships with decision makers in assigned national accounts. - Pursues identified business prospects, leading the planning and sales process for new business opportunities. This role has a substantial emphasis on new business development. - Oversees execution of existing contracts, including renewal and expansion of existing customer relationships. - Leverages restaurant research insights and trends and to identify whitespace opportunities, and collaborates with other teams to provide innovative solutions and products that align with Winland’s core business strengths. - Maintains a thorough working knowledge of all of Winland’s product portfolio, and a deep understanding of the competition (i.e. markets, products, pricing, culinary and technical facets). - Works with the Customer Data Specialist (CDS) to create and enter product opportunities into our Product Portfolio Management System (PPM) ensuring customer’s expectations are clearly defined. - Owns coordination and management of account operations support, including reconciliation of rebates, allowances, deductions and receivables for assigned national accounts, as well as awareness and support for order fulfillment when necessary. - Proactively identifies opportunities to reduce/eliminate Damages, Distressed or Donated products (DDD), and understands key drivers to help mitigate future risk of product obsolescence. The duties and responsibilities described are not a comprehensive list of all tasks. Additional tasks and duties may be assigned from time to time as necessitated by business needs. Qualifications & Experience: - Bachelor’s degree in Business, Finance or related field required - Minimum of 5 years of business experience in foodservice sales or related field required - Knowledge of the Foodservice business from the ground up, with a thorough understanding of national accounts segment - Has well-established contacts within national account foodservice industry - Demonstrated technical and analytical skills for evaluating market segments, and using data to drive product and pricing strategies, and the their impact to production forecasts - Ability to transform insights and analytics into customized strategic account plans for deliver growth - Excellent oral, written, interpersonal communication skills and effective relationship building - Solid financial acumen - Understanding of P&L and price implications to optimize customer bid strategies and management of trade funding - Fluency in Power BI, SAP, SharePoint​, MS Office (Word, Excel, PowerPoint) - Strong customer interaction and negotiation skill capabilities - Ability to manage multiple accounts, while cultivating large volume opportunities - Strong management skills with demonstrated problem solving ability, skilled at multi-tasking, prioritization, and communication of AOP performance to stakeholders at varying levels of the organization - Strong cross-functional and team coordination / collaboration skills - Creative problem solution abilities; ability to be resourceful to improve long-term customer relationships - Capable of building strong internal and external relationships to achieve desired customer outcomes - Ability to travel up to 50% of the time EEO Statement: Winland Foods seeks to recruit, develop, and retain the most talented people from a diverse candidate pool, and as a global company we believe our success is enhanced by fostering equity and inclusion in the workplace. Therefore, Winland Foods is committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates without regard to race, color, religion, sex, pregnancy, national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, genetic information, military or veteran status, and any other characteristic protected by applicable law.

United States
$93K - $158K / year
Thermo Fisher Scientific logo

Associate Contract Manager

Thermo Fisher Scientific

The World Leader In Serving Science

Manager58 days ago
Full TimeRemoteTeam 10,001+Since 1956H1B Sponsor

• Drafts, reviews, negotiates and finalizes agreements with study sites in accordance with local/accepted process. • Negotiates within approved parameters both investigator grant budget negotiation parameters, contractual terms and conditions in accordance with company contractual considerations, client contractual considerations, established process with sites and follows established escalation routes. • Communicates, trains and provides approved contract templates, process and negotiation parameters and client expectations to assigned teams. • Ensures collaboration, quality alignment with terms and conditions, process and client expectations with assigned team members. • Identifies and assesses legal, financial and operational risks in accordance with approved company and client contractual considerations. • Acts as a lead regional interface and escalation contact with external clients for term & condition revisions outside of approved negotiation parameters, client expectations and process deviations. • Provides recommendations and alternative resolutions contracts negotiations to internal and external clients. • Works with internal functional departments to facilitate coordination of different site startup activities impacted by contractual activities upon mutually agreed upon timelines. • Completes tracking and reporting as required. • Contributes to change initiatives within the department. • Completes periodic quality reviews and peer feedback reports. • May assist with training material preparation or delivery of training to team members.

North Carolina
Job Closed
TransUnion logo

Managers

TransUnion

TransUnion is a global information and insights company that makes trust possible by ensuring that each consumer is reliably and safely represented in the marketplace. We do this by having an accurate and comprehensive picture of each person. This picture is grounded in our legacy as a credit reporting agency which enables us to tap into both credit and public record data; our data fusion methodology that helps us link, match and tap into the awesome combined power of that data; and our knowledgeable and passionate team, who stewards the information with expertise, and in accordance with local legislation around the world. Because of our work, organizations can better understand consumers in order to make more informed decisions, and earn their trust through great, personalized experiences, and the proactive extension of the right opportunities, tools and offers. In turn, consumers can be confident that their data identities will result in the opportunities they deserve. We make trust possible, so businesses and consumers can transact with confidence and achieve great things. We call this Information for Good®—it’s our purpose, and what drives us every day.

Manager58 days ago
Full TimeRemoteTeam 10,001+Since 1968H1B Sponsor

TransUnion's Job Applicant Privacy Notice Personal Information We Collect Your Privacy Choices Team Overview Managers for Boca Raton, Florida location. Lead accurate financial reporting and timely payments for sales commission and royalty programs. Provide leadership and direction to direct reports and the global capability center accounting team. Drive process transformations in the Sales Commissions and Royalties areas, partnering with program leadership on strategic decision-making. Scale/evaluate the Sales Commission and Royalties accounting area, identifying opportunities to combine like processes, and designing and implementing new front-end controls to mitigate risk while reducing manual effort. Lead sales commission accounting processes and ensure annual sales commission plans changes are correctly configured and tested prior to program launch dates and coordinate with Sales Operations teams. Collaborate with key stakeholders to ensure changes to royalty programs are reviewed, configured, and tested prior to contractual effective dates. Manage the month and quarter end accounting close processes which includes reviewing and approving journal entries, revenue and balance sheet analysis, and account reconciliations, and perform financial planning, forecasting and analysis. Assist in the assessment, design, and implementation of internal accounting and financial controls, providing detailed analytical reports. Identify opportunities for improvement, propose solutions, implement changes in environment with constantly competing priorities. Make presentations to executives. Oversee junior financial and accounting staff. Technical environment: ETL databases for report generation; data visualization using Tableau; pivot tables, SQL, MySQL; Alteryx, Tableau; Excel; business systems and associated reporting capabilities (ERP, Clarity, Anaplan, Salesforce, Coupa, Power BI). Job Requirements Bachelor’s degree in Business or Finance or Accounting or related field plus 3 years of experience as an Accountant or Financial Analyst or with Financial Planning/Analysis/Operations required. Skills Required: Experience with general accounting and supporting sales commissions financial operations; experience mentoring & coaching junior analysts; experience with ERP, Clarity, Anaplan, Salesforce, Coupa, Power BI; financial planning, forecasting & analysis; Sales Ops; extracting, cleaning, analyzing data using MySQL, data visualization (Tableau), generating reports using ETL databases; generating reports using Alteryx (automation) & data analysis; providing detailed analytical reports; excellent written and verbal communication skills and experience effectively communicating across large organization, including making technical financial presentations to executives; demonstrated high adaptability to change. Some telecommuting permitted. Benefits & Pay Scale Information: TransUnion provides flexible benefits including flexible time off for exempt associates, paid time off for non-exempt associates, up to 12 paid holidays per year, health benefits (including medical, dental, and vision plan options and health spending accounts), mental health support, disability benefits, up to 12 weeks of paid parental leave, adoption assistance, fertility planning coverage, legal benefits, long-term care insurance, commuter benefits, tuition reimbursement, charity gift matching, employee stock purchase plan, 401(k) retirement savings with employer match, and access to TransUnion’s Employee Resource Groups. Spousal, domestic partner, and other eligible dependent coverage is available on select health and welfare plans. The U.S. base salary range for this position is : $134,576/yr.- $134,576/yr. + Benefits (www.transunion.com/about-us/careers/life-at-tu). annually. Regular, fulltime non-sales positions may be eligible to participate in TransUnion’s annual bonus plan. Certain positions may also be eligible for long-term incentives and other payments based on applicable company guidance and plan documents. We are committed to being a place where diversity is not only present, it is embraced. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability status, veteran status, genetic information, marital status, citizenship status, sexual orientation, gender identity or any other characteristic protected by law. #LI-DNI #BI-DNI Benefits that support every part of your life: At TransUnion, we design benefits to help you feel well, do well, and plan well—from day one. For Your Health: Enjoy day-one eligibility for medical, dental, and vision coverage, plus supplemental plan options. Spousal, domestic partner, and other eligible dependent coverage is available on select plans. Choose tax‑advantaged HSA and FSA accounts to make everyday care more affordable. For Your Protection: We’ve got your back with company‑paid basic life and AD&D, optional voluntary life and AD&D for you and your family, and short‑ and long‑term disability. You can also opt into a legal plan, pet insurance, and travel accident coverage. For Your Family: From adoption assistance and fertility planning coverage to caregiver support, we’re here for every chapter. Access Dependent Care FSA for possibility of an employer match, a complimentary Care@Work membership, and up to 12 weeks of paid parental leave with eligibility for a thoughtful, gradual return. For Your Future: Build toward what’s next with our 401(k) with employer match and Employee Stock Purchase Plan (ESPP). Tap financial wellness resources, career coaching, and optional long‑term care insurance to plan confidently. For You: Grow and recharge with tuition reimbursement, flexible time off for exempt employees or paid time off for nonexempt employees, up to 12 paid holidays per year, commuter benefits, employee discounts, charitable gift matching, and paid volunteer time off, plus corporate volunteer events that make it easy to give back. For Your Wellness: Access 24/7 support including professional therapy, coaching, and emotional well‑being programs alongside guided meditation and resources that support physical, mental, social, and financial wellness. We are committed to being a place where diversity is not only present, it is embraced. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability status, veteran status, genetic information, marital status, citizenship status, sexual orientation, gender identity or any other characteristic protected by law. Additionally, in accordance with Section 503 of the Rehabilitation Act of 1973 and the Vietnam Era Veterans’ Readjustment Assistance Act of 1974, TransUnion takes affirmative action to employ and advance in employment qualified individuals with a disability and protected veterans in all levels of employment and develops annual affirmative action plans. Components of TransUnion’s Affirmative Action Program for individuals with disabilities and protected veterans are available for review to any associate or applicant for employment upon request by contacting ERCoE@transunion.com. Qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law, including the Los Angeles County Fair Chance Ordinance for Employers, the San Francisco Fair Chance Ordinance, Fair Chance Initiative for Hiring Ordinance, and the California Fair Chance Act. Adherence to Company policies, sound judgment and trustworthiness, working safely, communicating respectfully, and safeguarding business operations, confidential and proprietary information, and the Company’s reputation are also essential expectations of this position. TransUnion Overview: At TransUnion, we encourage and are committed to creating a real, positive impact and shared sense of purpose within our Workforce for Good, which empowers our people to grow, innovate and contribute to a better future for our communities and customers. We strive to build an environment where our associates are in the driver’s seat of their professional development— while having access to help along the way. We recognize that success comes when our associates thrive both professionally and personally; that’s why we prioritize work/life flexibility and offer resources for our teams across the globe to collaborate and drive excellence. Be a part of our Workforce for Good – you’ll work with great people, pioneering products and cutting-edge technology. Company: TransUnion LLC

United States