Full Time - Regular
Roseburg, OR, US


POSITION PURPOSE

This position will prepare, review, monitor or maintain provider contracts, leases and other contractual agreements; ensure compliance of applicable rules and regulations; research and prepare reports as needed; and serve in an administrative capacity for all contract matters.

ESSENTIAL JOB RESPONSIBILITIES

• Responsible for CCO VBP contract proposals and reporting.
• Partner with Quality and Network Operations as needed.
• Produce proposals for contract rates and value based care (VBC) arrangements, along with reporting framework and benchmarks.
• Analyze and report CCO VBP performance, partnering with Quality, and coordinating with Finance re: appropriate contract accruals.
• Manage contracting staff.
• Collaborate with the Finance and Data Support Departments in identifying contracting and network development strategies.
• Work with Network Operations and Leadership in designing, developing and negotiating provider contracts, including identifying alternative payment methodologies.
• Maintain contracts in accordance with appropriate record retention procedures and internal controls.
• Develop and prepare performance specifications and requests for proposals.
• Establish schedules and methods to ensure contract compliance, including required timely payments, and document management. Review needs with management for allocation.
• Participate in the development of policies and procedures. Make recommendations for change and improvements to existing standards and procedures.
• Provide various agreement information to potential tenants, consultants, contractors, developers, legal counsel and other external entities.
• Prepare and complete required agreement information, documents, drafts and amendments. Enter information into computer system, prepare correspondence for approval, and validate contract assignments.
• Manage the interface and related workflows with external legal counsel and external legal specialists.
• Collaborate with Umpqua Health's Compliance Department on matters pertaining to contract compliance and vendor performance.
• Prepare analytical and statistical reports on operations and activities, as applicable.
• Attend and participate in professional group meetings as needed.
• Lead Network Performance Committee and collaborate with Network Operations Manager.
• Comply with organization's internal policies and procedures, Code of Conduct, Compliance Plan, along with applicable Federal, State, and local regulations.
• Other duties as assigned.

QUALIFICATIONS

• Bachelor's degree with major coursework in business administration or a related field + 2 years of contract development, contract management or related experience.
• Principles and practices of research, analysis and report preparation. Able to prepare clear and concise reports.
• Oversight, principles and practices of contract compliance.
• Strong English usage, spelling, grammar and punctuation.
• Knowledge of pertinent Federal, State and local laws, codes and regulations.
• Ability to interpret and explain Oregon Health Authority policies and procedures, experience with Oregon Health Plan preferred.
• Excellent verbal and written communication skills as well as outstanding problem solving, organizational, and leadership skills.
• Proven strong project management, multi-tasking and presentation skills.

PI128739014