Contracting Specialist Careers at WVU Medicine - Morgantown, West Virginia | Apply Now!
WVU Medicine
Contracting Specialist Careers at WVU Medicine - Morgantown, West Virginia | Apply Now!
Job Description
Role Overview
The Contracting Specialist at WVU Medicine plays a crucial role in managing and negotiating contracts with insurance companies, HMOs, and other payers. This position ensures that WVU Medicine and its affiliates receive fair and competitive reimbursement for the healthcare services they provide. The Contracting Specialist acts as a liaison between WVU Medicine and external payers, facilitating discussions, resolving issues, and ensuring compliance with contract terms.Day in the Life
A typical day for a Contracting Specialist at WVU Medicine may involve: * Conducting payer discussions to understand their requirements and negotiate contract terms. * Analyzing claims data and payment methodologies to identify areas for improvement. * Developing counterproposals and contract language to protect WVU Medicine’s interests. * Collaborating with internal stakeholders, such as financial and operational staff, to gather data and insights. * Resolving payment issues and addressing denials with payers. * Maintaining accurate contract files and databases. * Staying up-to-date on industry trends and regulatory changes. * Preparing reports and presentations for management.Why Morgantown, West Virginia?
Morgantown, West Virginia, offers a unique blend of small-town charm and big-city amenities. Home to West Virginia University, Morgantown provides a vibrant cultural scene, diverse dining options, and numerous recreational opportunities. The cost of living is relatively low compared to other parts of the country, making it an attractive place to live and work. WVU Medicine's presence in Morgantown ensures a stable and growing job market, with opportunities for career advancement and professional development. The city is surrounded by beautiful natural landscapes, offering residents easy access to outdoor activities such as hiking, biking, and fishing.Career Path
The Contracting Specialist position at WVU Medicine offers a clear career path for ambitious individuals. With experience and proven performance, a Contracting Specialist can advance to roles such as Senior Contracting Specialist, Contracting Manager, or Director of Contracting. These roles involve increased responsibility and leadership opportunities, such as managing a team of contracting professionals, developing and implementing contracting strategies, and representing WVU Medicine in negotiations with major payers. Continuous learning and professional development are encouraged at WVU Medicine, allowing employees to stay at the forefront of the healthcare industry.Salary & Benefits
The estimated salary range for a Contracting Specialist at WVU Medicine in Morgantown, West Virginia, is $65,000 to $95,000 per year. WVU Medicine also offers a comprehensive benefits package, including: * Health insurance (medical, dental, vision) * Paid time off (PTO) * Retirement plan with employer match * Tuition reimbursement * Employee assistance program (EAP) * Life insurance * Disability insuranceWVU Medicine Culture
WVU Medicine is committed to creating a supportive and inclusive work environment where employees can thrive. The organization values teamwork, innovation, and continuous improvement. WVU Medicine fosters a culture of respect and collaboration, where employees are encouraged to share their ideas and contribute to the success of the organization. The organization also emphasizes work-life balance, offering flexible work arrangements and wellness programs to support employee well-being.How to Apply
To apply for the Contracting Specialist position at WVU Medicine, please visit the WVU Medicine careers website and submit your application online. Be sure to include a resume and cover letter highlighting your relevant experience and qualifications. The application process may also involve completing an online assessment and participating in interviews with hiring managers and HR representatives.FAQ
What are the minimum qualifications for the Contracting Specialist position?
The minimum qualifications include a bachelor’s degree in healthcare management or a related field, or a high school diploma with two years of contractual or financial-related experience. Additionally, four years of experience in data analysis or business management, or two years of work experience in healthcare data analytics, healthcare consulting analytics, or healthcare contracting analytics are required.Is prior healthcare contracting experience required?
While not strictly required, direct experience in healthcare payment methodology for physicians and hospitals or related contracting experience is preferred.What skills are essential for success in this role?
Essential skills include contract negotiation, data analysis, communication, problem-solving, and a strong understanding of healthcare payment methodologies.What is the typical career path for a Contracting Specialist at WVU Medicine?
A Contracting Specialist can advance to roles such as Senior Contracting Specialist, Contracting Manager, or Director of Contracting, with increased responsibility and leadership opportunities.What benefits does WVU Medicine offer to its employees?
WVU Medicine offers a comprehensive benefits package, including health insurance, paid time off, retirement plan, tuition reimbursement, and more.What is the work environment like at WVU Medicine?
WVU Medicine fosters a supportive and inclusive work environment that values teamwork, innovation, and continuous improvement.How does WVU Medicine support employee well-being?
WVU Medicine offers wellness programs, flexible work arrangements, and resources to promote work-life balance and employee well-being.What opportunities are there for professional development at WVU Medicine?
WVU Medicine encourages continuous learning and offers opportunities for professional development, such as tuition reimbursement and training programs.Where is the job located?
The job is located at the Peak Health Administrative Building in Morgantown, West Virginia, and has a remote work option.How do I apply for the Contracting Specialist position?
To apply, visit the WVU Medicine careers website and submit your application online, including a resume and cover letter.Locations
- Morgantown, West Virginia, United States (Remote)
Salary
Estimated Salary Rangemedium confidence
71,500 - 104,500 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- Contract Negotiationintermediate
- Payer Relationsintermediate
- Data Analysisintermediate
- Healthcare Contractingintermediate
- Financial Analysisintermediate
- Payment Methodologyintermediate
- Claims Data Analysisintermediate
- HIPAA Complianceintermediate
- Report Writingintermediate
- PC Programmingintermediate
- Spreadsheet Managementintermediate
- Database Designintermediate
- Communication Skillsintermediate
- Problem Solvingintermediate
- Analytical Skillsintermediate
- Negotiation Skillsintermediate
- Healthcare Financeintermediate
- Revenue Cycle Managementintermediate
- Third-Party Payer Regulationsintermediate
- Contract Managementintermediate
- Healthcare Data Analyticsintermediate
- Financial Modelingintermediate
- Presentation Skillsintermediate
- Interpersonal Skillsintermediate
- Healthcare Reimbursementintermediate
Required Qualifications
- Bachelor’s degree in Health Care Management or related field OR High School Diploma with two years of contractual or financial related experience. (experience)
- Four years of experience in data analysis or business management OR two years of work experience in healthcare data analytics, healthcare consulting analytics or healthcare contracting analytics. (experience)
- Master’s degree preferred. (experience)
- Direct experience in health care payment methodology for physicians and hospitals or related contracting experience preferred. (experience)
- Knowledge of hospital and physician contracting. (experience)
- Understanding of payment methodologies. (experience)
- Familiarity with healthcare data. (experience)
- Experience with data analysis tools. (experience)
- Ability to communicate effectively with various stakeholders. (experience)
- Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint). (experience)
- Knowledge of HIPAA regulations. (experience)
- Strong analytical and problem-solving skills. (experience)
- Ability to work independently and as part of a team. (experience)
- Excellent organizational skills and attention to detail. (experience)
- Experience with contract management software (preferred). (experience)
Responsibilities
- Conduct payer discussions on behalf of Health Partners Network.
- Negotiate contracts with insurance companies, HMOs, and other payers on behalf of the West Virginia United Health System and its affiliates.
- Communicate contract terms to management and resolve third-party payer issues directly with payers.
- Analyze and communicate hospital contracting and payment methodology with financial and operational staff of WVUHS operating units and physician contracting with financial and operational staff of UHA as needed.
- Collaboratively interact with hospitals and professional providers.
- Remain current with how information is collected, maintained, and reported in all key systems with direct access to WVUH, UHA, United Hospital Center, City Hospital, and other provider databases.
- Facilitate discussions with insurance companies to resolve payment issues and to identify payment, overpayments, and underpayments.
- Conduct claims extracts and payer payment evaluations to perform contract compliance tests.
- Communicate and educate others regarding financial improvement analyses, denials issues, findings, and recommendations.
- Evaluate payer-offered hospital and physician financial and non-financial terms.
- Develop counterproposals and contract language as needed.
- Work with WVUHS/UHA and non-WVUHS/UHA personnel to develop analytical information related to contract negotiations.
- Maintain and continually improve on technical skills needed to manipulate data.
- Write programs to utilize the HIPAA compliant 835 reimbursement information.
- Maintain immediate report writing skills as needed.
- Write PC programs, spreadsheets macros, and design database structures as needed to produce and analyze reports.
- Summarize offers for review with appropriate HPN, WVUHS, and UHA/WVUPC committees and individuals.
- Maintain contract files for WVUHS, UHA, WVUPC, and HPN.
- Maintain physician and hospital fee information on major payers.
Benefits
- general: Comprehensive health insurance (medical, dental, vision)
- general: Prescription drug coverage
- general: Flexible spending accounts (FSA) and health savings accounts (HSA)
- general: Life insurance and accidental death & dismemberment (AD&D) insurance
- general: Short-term and long-term disability insurance
- general: Employee assistance program (EAP)
- general: Retirement plan with employer match
- general: Paid time off (PTO) for vacation, sick leave, and holidays
- general: Tuition reimbursement and professional development opportunities
- general: Employee wellness programs
- general: On-site fitness center and wellness activities
- general: Employee discounts on various products and services
- general: Commuter benefits
- general: Adoption assistance
- general: Paid parental leave
- general: Opportunities for career advancement
- general: Supportive and collaborative work environment
- general: Recognition programs and awards
- general: Relocation assistance (if applicable)
- general: Voluntary benefits such as critical illness insurance and accident insurance
- general: Employee referral program
- general: Access to WVU Medicine facilities and services
- general: Professional liability insurance
- general: Continuing medical education (CME) allowance (if applicable)
- general: Opportunities to participate in research and innovation
- general: Employee resource groups (ERGs)
- general: Wellness challenges and competitions
- general: Financial planning assistance
- general: Legal assistance
- general: Identity theft protection
- general: Pet insurance
- general: Childcare assistance
- general: Elder care assistance
Tags & Categories
Answer 10 quick questions to check your fit for Contracting Specialist Careers at WVU Medicine - Morgantown, West Virginia | Apply Now! @ WVU Medicine.
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Contracting Specialist Careers at WVU Medicine - Morgantown, West Virginia | Apply Now!
WVU Medicine
Contracting Specialist Careers at WVU Medicine - Morgantown, West Virginia | Apply Now!
Job Description
Role Overview
The Contracting Specialist at WVU Medicine plays a crucial role in managing and negotiating contracts with insurance companies, HMOs, and other payers. This position ensures that WVU Medicine and its affiliates receive fair and competitive reimbursement for the healthcare services they provide. The Contracting Specialist acts as a liaison between WVU Medicine and external payers, facilitating discussions, resolving issues, and ensuring compliance with contract terms.Day in the Life
A typical day for a Contracting Specialist at WVU Medicine may involve: * Conducting payer discussions to understand their requirements and negotiate contract terms. * Analyzing claims data and payment methodologies to identify areas for improvement. * Developing counterproposals and contract language to protect WVU Medicine’s interests. * Collaborating with internal stakeholders, such as financial and operational staff, to gather data and insights. * Resolving payment issues and addressing denials with payers. * Maintaining accurate contract files and databases. * Staying up-to-date on industry trends and regulatory changes. * Preparing reports and presentations for management.Why Morgantown, West Virginia?
Morgantown, West Virginia, offers a unique blend of small-town charm and big-city amenities. Home to West Virginia University, Morgantown provides a vibrant cultural scene, diverse dining options, and numerous recreational opportunities. The cost of living is relatively low compared to other parts of the country, making it an attractive place to live and work. WVU Medicine's presence in Morgantown ensures a stable and growing job market, with opportunities for career advancement and professional development. The city is surrounded by beautiful natural landscapes, offering residents easy access to outdoor activities such as hiking, biking, and fishing.Career Path
The Contracting Specialist position at WVU Medicine offers a clear career path for ambitious individuals. With experience and proven performance, a Contracting Specialist can advance to roles such as Senior Contracting Specialist, Contracting Manager, or Director of Contracting. These roles involve increased responsibility and leadership opportunities, such as managing a team of contracting professionals, developing and implementing contracting strategies, and representing WVU Medicine in negotiations with major payers. Continuous learning and professional development are encouraged at WVU Medicine, allowing employees to stay at the forefront of the healthcare industry.Salary & Benefits
The estimated salary range for a Contracting Specialist at WVU Medicine in Morgantown, West Virginia, is $65,000 to $95,000 per year. WVU Medicine also offers a comprehensive benefits package, including: * Health insurance (medical, dental, vision) * Paid time off (PTO) * Retirement plan with employer match * Tuition reimbursement * Employee assistance program (EAP) * Life insurance * Disability insuranceWVU Medicine Culture
WVU Medicine is committed to creating a supportive and inclusive work environment where employees can thrive. The organization values teamwork, innovation, and continuous improvement. WVU Medicine fosters a culture of respect and collaboration, where employees are encouraged to share their ideas and contribute to the success of the organization. The organization also emphasizes work-life balance, offering flexible work arrangements and wellness programs to support employee well-being.How to Apply
To apply for the Contracting Specialist position at WVU Medicine, please visit the WVU Medicine careers website and submit your application online. Be sure to include a resume and cover letter highlighting your relevant experience and qualifications. The application process may also involve completing an online assessment and participating in interviews with hiring managers and HR representatives.FAQ
What are the minimum qualifications for the Contracting Specialist position?
The minimum qualifications include a bachelor’s degree in healthcare management or a related field, or a high school diploma with two years of contractual or financial-related experience. Additionally, four years of experience in data analysis or business management, or two years of work experience in healthcare data analytics, healthcare consulting analytics, or healthcare contracting analytics are required.Is prior healthcare contracting experience required?
While not strictly required, direct experience in healthcare payment methodology for physicians and hospitals or related contracting experience is preferred.What skills are essential for success in this role?
Essential skills include contract negotiation, data analysis, communication, problem-solving, and a strong understanding of healthcare payment methodologies.What is the typical career path for a Contracting Specialist at WVU Medicine?
A Contracting Specialist can advance to roles such as Senior Contracting Specialist, Contracting Manager, or Director of Contracting, with increased responsibility and leadership opportunities.What benefits does WVU Medicine offer to its employees?
WVU Medicine offers a comprehensive benefits package, including health insurance, paid time off, retirement plan, tuition reimbursement, and more.What is the work environment like at WVU Medicine?
WVU Medicine fosters a supportive and inclusive work environment that values teamwork, innovation, and continuous improvement.How does WVU Medicine support employee well-being?
WVU Medicine offers wellness programs, flexible work arrangements, and resources to promote work-life balance and employee well-being.What opportunities are there for professional development at WVU Medicine?
WVU Medicine encourages continuous learning and offers opportunities for professional development, such as tuition reimbursement and training programs.Where is the job located?
The job is located at the Peak Health Administrative Building in Morgantown, West Virginia, and has a remote work option.How do I apply for the Contracting Specialist position?
To apply, visit the WVU Medicine careers website and submit your application online, including a resume and cover letter.Locations
- Morgantown, West Virginia, United States (Remote)
Salary
Estimated Salary Rangemedium confidence
71,500 - 104,500 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- Contract Negotiationintermediate
- Payer Relationsintermediate
- Data Analysisintermediate
- Healthcare Contractingintermediate
- Financial Analysisintermediate
- Payment Methodologyintermediate
- Claims Data Analysisintermediate
- HIPAA Complianceintermediate
- Report Writingintermediate
- PC Programmingintermediate
- Spreadsheet Managementintermediate
- Database Designintermediate
- Communication Skillsintermediate
- Problem Solvingintermediate
- Analytical Skillsintermediate
- Negotiation Skillsintermediate
- Healthcare Financeintermediate
- Revenue Cycle Managementintermediate
- Third-Party Payer Regulationsintermediate
- Contract Managementintermediate
- Healthcare Data Analyticsintermediate
- Financial Modelingintermediate
- Presentation Skillsintermediate
- Interpersonal Skillsintermediate
- Healthcare Reimbursementintermediate
Required Qualifications
- Bachelor’s degree in Health Care Management or related field OR High School Diploma with two years of contractual or financial related experience. (experience)
- Four years of experience in data analysis or business management OR two years of work experience in healthcare data analytics, healthcare consulting analytics or healthcare contracting analytics. (experience)
- Master’s degree preferred. (experience)
- Direct experience in health care payment methodology for physicians and hospitals or related contracting experience preferred. (experience)
- Knowledge of hospital and physician contracting. (experience)
- Understanding of payment methodologies. (experience)
- Familiarity with healthcare data. (experience)
- Experience with data analysis tools. (experience)
- Ability to communicate effectively with various stakeholders. (experience)
- Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint). (experience)
- Knowledge of HIPAA regulations. (experience)
- Strong analytical and problem-solving skills. (experience)
- Ability to work independently and as part of a team. (experience)
- Excellent organizational skills and attention to detail. (experience)
- Experience with contract management software (preferred). (experience)
Responsibilities
- Conduct payer discussions on behalf of Health Partners Network.
- Negotiate contracts with insurance companies, HMOs, and other payers on behalf of the West Virginia United Health System and its affiliates.
- Communicate contract terms to management and resolve third-party payer issues directly with payers.
- Analyze and communicate hospital contracting and payment methodology with financial and operational staff of WVUHS operating units and physician contracting with financial and operational staff of UHA as needed.
- Collaboratively interact with hospitals and professional providers.
- Remain current with how information is collected, maintained, and reported in all key systems with direct access to WVUH, UHA, United Hospital Center, City Hospital, and other provider databases.
- Facilitate discussions with insurance companies to resolve payment issues and to identify payment, overpayments, and underpayments.
- Conduct claims extracts and payer payment evaluations to perform contract compliance tests.
- Communicate and educate others regarding financial improvement analyses, denials issues, findings, and recommendations.
- Evaluate payer-offered hospital and physician financial and non-financial terms.
- Develop counterproposals and contract language as needed.
- Work with WVUHS/UHA and non-WVUHS/UHA personnel to develop analytical information related to contract negotiations.
- Maintain and continually improve on technical skills needed to manipulate data.
- Write programs to utilize the HIPAA compliant 835 reimbursement information.
- Maintain immediate report writing skills as needed.
- Write PC programs, spreadsheets macros, and design database structures as needed to produce and analyze reports.
- Summarize offers for review with appropriate HPN, WVUHS, and UHA/WVUPC committees and individuals.
- Maintain contract files for WVUHS, UHA, WVUPC, and HPN.
- Maintain physician and hospital fee information on major payers.
Benefits
- general: Comprehensive health insurance (medical, dental, vision)
- general: Prescription drug coverage
- general: Flexible spending accounts (FSA) and health savings accounts (HSA)
- general: Life insurance and accidental death & dismemberment (AD&D) insurance
- general: Short-term and long-term disability insurance
- general: Employee assistance program (EAP)
- general: Retirement plan with employer match
- general: Paid time off (PTO) for vacation, sick leave, and holidays
- general: Tuition reimbursement and professional development opportunities
- general: Employee wellness programs
- general: On-site fitness center and wellness activities
- general: Employee discounts on various products and services
- general: Commuter benefits
- general: Adoption assistance
- general: Paid parental leave
- general: Opportunities for career advancement
- general: Supportive and collaborative work environment
- general: Recognition programs and awards
- general: Relocation assistance (if applicable)
- general: Voluntary benefits such as critical illness insurance and accident insurance
- general: Employee referral program
- general: Access to WVU Medicine facilities and services
- general: Professional liability insurance
- general: Continuing medical education (CME) allowance (if applicable)
- general: Opportunities to participate in research and innovation
- general: Employee resource groups (ERGs)
- general: Wellness challenges and competitions
- general: Financial planning assistance
- general: Legal assistance
- general: Identity theft protection
- general: Pet insurance
- general: Childcare assistance
- general: Elder care assistance
Tags & Categories
Answer 10 quick questions to check your fit for Contracting Specialist Careers at WVU Medicine - Morgantown, West Virginia | Apply Now! @ WVU Medicine.
10 Questions
~2 Minutes
Instant Score
Related Books and Jobs