Provider Compensation & Contracting Manager Full Time Days
East Tennessee Children's Hospital
BASIC PURPOSE OF THE JOB
Responsible for general and ad-hoc compensation analyses and serves as the subject matter expert on provider compensation matters providing consultation, modeling and contract analysis to operations leaders. Works seamlessly with the legal department on origination, coordination and administration of physician contracts while supporting standardized and centralized contract administration, compliance and records management.
REPORTS TO
Kelly Deraney, VP Ambulatory Services
JOB REQUIREMENTS
Supervisory Responsibilities: NO
Number of Direct Reports: (Only complete if Supervisory Responsibilities is “YES”)
Minimum Education:
Degree: Bachelors and/or Master's Degree in Health-Care related field or Business.
License/Certification Required:
Minimum Work Experience: 3+ years of work experience in healthcare operations, physician contracting, or finance field
REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES
- Preferred experience in provider compensation planning
- Advanced knowledge of Excel
DUTIES AND RESPONSIBILITIES
- Planning/Strategy
- Monitoring & Auditing
Monitor and review status of provider contracts
Calculate provider compensation and accruals including base pay, productivity-based incentives, and quality-based bonuses
In coordination with finance team, accrue for quality, productivity, APC supervision and other compensation obligations
Audit provider payments to determine compliance with contract terms
Research questions/issues regarding provider pay
Work with Senior Leadership/Contracting/ Operations/ HR on specific issues resulting from compensation administration challenges
Ensure provider compensation practices and policies comply with legal and regulatory requirements such as Stark Law, Anti-kickback laws, FMLA, and HIPAA; work with Legal Services on template changes and other updates as necessar
- Drafting & Communication
- Document Control
PHYSICAL REQUIREMENTS-Note: Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position. (Remove those that don’t apply)
- Infrequent light lifting, pushing and pulling of objects of less than 10 lbs is required.
- Frequent sitting and standing with occasional walking, is required. Keyboard/computer use and/or repetitive motions may be required.
- Job may be performed as a hybrid onsite/offsite position. Not suitable for a fully-remote worker.
Come work where you can make a difference everyday.