Contract Manager

2 weeks ago


South East England, United Kingdom Cleveland Clinic London Full time

Salary: Competitive, Depending on Experience Hours: Monday to Friday, 9am to 5pm
Contract: Permanent

Cleveland Clinic London are looking to recruit a Payer Contracts Manager. In this role you will be reporting to the Head of Payer Contracting and Relationships where you will provide contracts, commercial, pricing, and analytical support in relation to payers for Cleveland Clinic London (CCL), managing relationships with defined UK and international payers.
In addition, you will work with Finance, Business Development & Strategy, Information Technology (IT), Enterprise Analytics (EA), and Clinical caregivers and leadership to monitor, report, and help improve the performance of assigned payer agreements and relationships.
Cleveland Clinic London offers a brand-new high-acuity environment with the very latest equipment, where caregivers are encouraged to grow their expertise across multiple specialties, and in collaboration with expert clinicians. Our Mission, Caring for life, researching for health, and educating those who serve, assures our unwavering commitment to professional development.

???????Contract Management
Prepares assessments of new payer relationships including a comparison to standard CCL terms and contract objectives.
Supports negotiation of renewals, amendments, and new contracts with UK private medical insurers and international payers.
Maintains chronology of contract proposals and counter proposals using the CCL contract management system.
Works with the Head of Payer Contracting and Relationships and the Law Department to assess legal risks in the context of contractual provisions.
Monitors contract terms and conditions for compliance with financial and operations terms.
Drafts and proposes alternate contract language in collaboration with Law Department.
Managing relationships with assigned payers effectively across the contract lifecycle working and supporting the Payer Contracts Administrator with day-to-day operational issues.
Responsible for development of tools and resources to assist clinical and finance caregivers with contract compliance.
Evaluates opportunities and financial terms for payer contracts.
Strategic Projects and Development Agendas
Seeks out opportunities to incorporate measurable outcomes and quality indicators or value-based reporting parameters into the relationships.
Supports strategic contracting, pricing, and growth opportunities with assigned payers in collaboration with Finance and Business Development & Strategy.
Leads/Manages medium to large size projects, leveraging basic project management tools to deliver results.
Collaborates with consultants and other caregivers to optimise contract performance across the enterprise and across each clinical institute.
Bachelors degree in business, finance, or healthcare management or related field (essential)
Masters degree in business, finance, or healthcare management (desirable)
A demonstrable track-record over several roles (or equivalent experience) in healthcare contract management, negotiations, pricing, and/or hospital administration within a hospital, health insurance, or consulting environment (essential).
Previous experience and expertise with contract terms, reimbursement methodologies, legal issues, and/or contract analysis (essential).
Demonstrable experience in a professional environment of negotiation skills, strong analytical ability, problem-solving abilities, and financial skills (essential).
Knowledge of medical terminology (desirable).
Previous experience and expertise using Excel at intermediate level desirable (e.g., Previous experience of commercial analysis to support commercial negotiations (essential).

25 days Annual leave plus 8 days Bank holiday a year
~ Auto-Enrolment of 5% pension - Cleveland contribute 10% through Salary Exchange
~ Private Medical Insurance and Private Dental Insurance
~ Life Assurance
~ Discounted gym facilities in our Admin Office Building
~ Employee Assistance Programme
~ Seasonal Ticket Loans
~ Child Care Vouchers



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