Primary City/State:

Phoenix, Arizona

Department Name:

Provider Contracting

Work Shift:

Day

Job Category:

Legal

Great careers start with great training. The people of Banner Health are focused on delivering excellent care to our patients. In return, we are committed to excellence in personal development for all our team members. Apply today

The Provider Contracting Department is one of the first points of contact for provider groups hoping to contract with Banner. From our response to questions on how to apply to request a contract through to contract execution, we work to make the process as easy and efficient as possible for provider groups. As we continue to integrate two teams, we will implement processes to coordinate use of data and documentation to eliminate duplication of work.

Find your path in health care. We want to change the lives of those in our care ??? and the people who choose to take on this challenge. If you???re ready to change lives, we want to hear from you.

Banner Health Network (BHN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BHN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs.

POSITION SUMMARY
This position administers contracts for the organization. This position participates in the development and implementation of contract management tools and processes to assist in achieving the organization???s contracting objectives and strategies.

CORE FUNCTIONS
1. Conducts initial review of proposed contract language. Reviews and revises proposed contracts, ensuring compliance with company policy/guidelines and legal requirements. Assess business terms to be sure the contract supports the company/business unit goals. Works directly with vendors/payer to negotiate and resolve contract issues, preparing contract documents for approval and execution by appropriate company leader.

2. Drafts and reviews contracts or other related documents for execution by appropriate company leader. Verifies intent of proposed contract with internal and external customers (including company and vendor/payer legal counsel).

3. Serves as a resource for internal and external clients to interpret contract language and resolves contract issues by reviewing and interpreting contract terms and originating contract documentation.

4. For assignments in managed care: Conducts analyses and compiles data for review of strategic contract terms for management review and decision making to specified areas of concern. Participates in contract monitoring and support tools (matrices), by reviewing and interpreting contracts, extracting key information for use by internal and/or external customers, and keeping abreast of changes in company locations for inclusion in various matrices. Maintains contract and correspondence file systems, key activity dates report (with corresponding notices of changes to external customers) and contract workflow log.

5. May participate in major projects as needed.

6. This position works independently, reviewing, writing and revising contract language. This position works with vendors or other payers to negotiate contracts which are within company policy/guidelines and legal requirements. Internally interfaces with all levels of company management. Externally interfaces with vendors or other payers.

MINIMUM QUALIFICATIONS

Experience consistent with a Bachelor???s degree in business, healthcare or related field required.

Requires three plus years of legal experience preferably relating to contract drafting, preparation and analysis. Must possess demonstrated skill in problem analysis and resolution; contract management; oral and written communication. Requires highly developed interpersonal and listening skills. Must be able to function independently, possess demonstrated flexibility in multiple project management. Requires strong computer and database skills. Assignments in managed care require strong contract writing skills as well as patient financial claims systems knowledge.

PREFERRED QUALIFICATIONS

Certified Paralegal certification is preferred.

Additional related education and/or experience preferred.