Job Description

BTG, in partnership with a top ranked healthcare company in Florida, has an immediate need for a Contract Language Administrator.

Requirements of the Contract Language Administrator

  • Bachelor's degree or equivalent work experience
  • 6+ years related healthcare contracting experience or equivalent combination of transferrable experience and education
  • Knowledge of healthcare, managed care, HMO and PPO market trends
  • Knowledge of capitation, risk sharing, and other alternative reimbursement model
  • Knowledge of reimbursement and compensation strategies of all provider programs
  • Advanced knowledge of contract related activities including negotiations, legal, regulatory, operational, finance and relationship management
  • Strong problem-solving and analytical skills required
  • Strong verbal and written communications skills to develop positive working relationships both internally and externally
  • Advanced Excel spreadsheet skills are required
  • Proven ability to manage large-scale, complex change efforts and projects, including the design, development, and implementation of innovative business capabilities intended to achieve strategic direction
  • Demonstrated ability to achieve business results in an environment of ambiguity, challenge and constantly changing business needs
  • Must have ability to influence, manage, collaborate and build relationships with individuals across the organization and achieve results through those who are not direct reports

Benefits of the Contract Language Administrator

  • Flexible hours, M-F
  • Medical/ Dental/ Vision
  • 401k

Responsibilities of the Contract Language Administrator

  • Responsible for all provider contract language, creation and maintenance of base contracts, amendments, letters of agreement and all legally binding documents
  • Lead and direct the development and implementation of contract language strategies that support product strategies, initiatives, reimbursement methodologies, and compliance
  • Overall responsibility for the contracting process and controllership including coordination with Network Management, Network Operations, Legal, Compliance, Analytics and Finance to review, prepare, and negotiate contracts
  • Provide subject matter expertise with contract language and ensure contract language is consistent with established templates and guidelines
  • Ensure that internal risk and liability exposure is limited and advise the business and compliance Leaders regarding any liability we may encounter due to accepting non-standard contractual requirements
  • Responsible for ensuring that fully executed agreements are obtained, distributed, and stored
  • Manage renewal, termination, and/or amendment processes to ensure timely notification of business and compliance leaders
  • Ensure internal approvals and final review are complete before authorizing internal signatures to occur
  • Participate in gathering data for RFP's
  • Conduct regular and timely reviews to ensure compliance with contractual terms and manage internal audits as they relate to contractual compliance
  • Drive results through the creation of metrics and dashboards
  • Drive innovation and continuous process improvements to achieve best-in-class service with internal and external customers
  • Performs other duties and projects as assigned
  • Act as subject matter expert in language development to design, support, build and maintain compensation arrangements.

If you believe that your skills and experience are a match for this position, please submit your most current resume and a recruiter will be in contact. Resumes can be submitted via email to ************* or by applying online at https://jobs.btginc.com. You may also give us a call at 904-998-9414 to speak to a recruiter.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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