Provider Contract Consultant

Reposted 6 Hours Ago
Be an Early Applicant
Hiring Remotely in Finandé, Maradi, NER
Remote
Mid level
Healthtech
The Role
Manage provider contract development, negotiation, execution and implementation. Support provider recruitment and compensation offers, ensure compliance with FMV/Stark/AKS rules, maintain contract repository, field provider inquiries, collaborate with legal and clinical leadership, and perform data analysis to support contracting decisions.
Summary Generated by Built In
Employment Type:Full timeShift:Day Shift

Description:

Trinity Health IHA Medical Group is looking for a highly detailed Provider Contract Consultant to join our team. In this role, you will lead the Provider contracting, negotiation and execution process.  Act as key strategic contact for Providers, external contracting entities and internal departments, mitigating implementation delays and resolving Provider contracting issues. 

What You'll Do:

  • Educates Trinity Health Michigan Medical Group Provider on provider contracting and compensation models.
  • Develops Provider contract and facilitates contractual negotiations.
  • Partners with legal counsel to ensure accurate preparation of contractual documents
  • Develops and negotiates Provider recruitment offers.
  • Oversees provider contractual agreements

General Requirements:

  • EDUCATION: Bachelor’s degree required.  Master’s degree in business administration, Healthcare Administration or other related field preferred.     
  • CREDENTIALS/LICENSURE: Documentation of education or training in provider contracts.  CHC or CMSR certification preferred.
  • MINIMUM EXPERIENCE: 3 years of professional contracting. Experience in a complex healthcare environment.  Five years’ professional experience, including knowledge of healthcare compliance, provider contract the compensations management experience preferred.  Knowledge of FVM standards, Stark Law, Anti-kickback Statute, Commercial Reasonableness and Reasonable Compensation rules and Fair Market Value regulations for providers, preferred.       

Why Join Trinity Health IHA Medical Group?

  • Day-one benefits for eligible team members with no waiting period.
  • Opportunities for career growth and professional development.
  • Supportive, team-oriented workplace culture.
  • Meaningful work helping patients access the care they need.
  • A mission-driven organization serving communities across Southeast Michigan.

At Trinity Health IHA Medical Group, we are committed to delivering outstanding patient care through our core values of Commitment, Advocacy, Respect, Efficiency, and Service. If you're passionate about helping others and providing exceptional customer service, we'd love to hear from you.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Skills Required

  • Bachelor's degree
  • Master's degree in Business Administration or Healthcare Administration
  • Documentation of education or training in provider contracts
  • CHC or CMSR certification
  • Minimum three years professional contracting experience
  • Experience in a complex health care environment
  • Five years professional experience including healthcare compliance and provider contract/compensation management
  • Knowledge of Fair Market Value standards, Stark Law, Anti-Kickback Statute, Commercial Reasonableness and Reasonable Compensation rules
  • Consultative contract negotiating skills and ability to develop/negotiates contract terms and incentives
  • Ability to analyze and interpret data to support contracting decisions
  • Proficiency with Microsoft Word and Excel
  • Proficiency with payroll and accounting systems, email, e-learning, intranet, and contract repository systems
  • Excellent written and verbal communication and presentation skills
  • Ability to perform mathematical calculations of moderate to high complexity
  • Maintain appropriate licensure/certification and continuing education credentials (if applicable)
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The Company
HQ: Livonia, MI
6,824 Employees

What We Do

Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians caring for diverse communities across 25 states. Nationally recognized for care and experience, the Trinity Health system includes 88 hospitals, 131 continuing care locations, the second largest PACE program in the country, 125 urgent care locations and many other health and well-being services. Based in Livonia, Michigan, its annual operating revenue is $20.2 billion with $1.2 billion returned to its communities in the form of charity care and other community benefit programs.

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