UNM Medical Group
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Senior Clinical Contracts Specialist
at UNM Medical Group
UNMMG Office of Clinical Contract Services (OCCS)
$68,109.00 minimum to $85.137.00 midpoint, annual salary
# of Openings:
Job Code/Title: B4020/ Senior Clinical Contracts Specialist
OPEN UNTIL FILLED
Writing Sample Required:
Cover letter should include a detailed description relating the applicant's professional experience to the listed job qualifications.
UNM Medical Group, Inc. (UNMMG) is the practice plan organization for physicians and other medical providers associated with the UNM Health Sciences Center. UNM Medical Group, Inc. is a New Mexico non-profit corporation and is an equal opportunity employer. UNMMG offers a competitive salary and an attractive benefit package which includes medical, dental, vision, and life insurance as well as tuition assistance, paid leave and 403b retirement for benefits eligible employees.
The UNM Medical Group has an opportunity for a highly energized, customer and detail-oriented individual to join the Office of Clinical Contract Services Team as a Sr. Clinical Contract Specialist.
The Office of Clinical Contract Services is responsible for the management of high-value contractual arrangements with a variety of healthcare organizations, and government agencies on behalf of the UNM Health System, which includes UNM Health Sciences Center, UNM Medical Group, Inc., and UNM Sandoval Regional Medical Center.
The Sr. Clinical Contract Specialist will, under limited supervision, draft and negotiate clinical contracts, research and develop fair market value analysis in compliance with Stark Law requirements, and maintain contracting systems.
There is one available position. Applicants from the Clinical Contract Specialist and Sr. Clinical Contract Specialist pools will be considered.
The following statements are intended to describe, in broad terms, the general functions and responsibility levels characteristic of positions assigned to this classification. They should not be viewed as an exhaustive list of the specific duties and prerequisites applicable to individual positions that have been so classified.
Under limited supervision, represents the UNM Medical Group, Inc., the UNM Hospitals, and UNM Health Sciences Center in the negotiation and processing of complex, high-value clinical contracts with a wide variety of health care agencies, programs, and private businesses with an emphasis on Indian Health Services (IHS) and Veteran's Affairs (VA). Serves as the principal point of liaison and expert resource for contractors, UNM customers and organizational leadership.
Duties and Responsibilities
Formulates, negotiates, writes and processes complex, high-value contractual arrangements on behalf of UNMHSC, UNMH, and UNMMG, Inc. for a range of clinical services.
Works collaboratively with various departments, units, etc. to develop contracts with external customers to include scope of service, budgets, financial analysis and language.
Researches and completes a fair market value analysis for most agreements in compliance with Stark Law requirements. Works with the external customer to reconcile the UNM and external analysis.
Establishes rapport and maintains working relationships with current and potential contracting agencies and constituencies.
Serves as expert resource to internal and external constituents with regards to clinical contract planning, development, interpretation, and maintenance.
Provides consultative support to leadership in the review and evaluation of existing and renewal clinical contracts; makes recommendations regarding contract retention or termination, as appropriate.
Remains abreast of current and emerging issues related to the national, state, and local health care market, federal and state healthcare regulations and laws, privacy and compliance laws, and contracting practices.
Develops business plans, business arrangements and contracts for new lines of clinical business.
Works with Purchasing, Financial Services Division, Legal Counsel and others to execute complex and integrated agreements and subawards that cross organizational lines.
Maintains contracting systems, including hard copy originals, electronic files, and tracking databases; provides information to constituents as requested.
Participates in the formulation, development, implementation and revision of contracting policies, procedures, and strategies for the Office of Clinical Contract Services and the University as appropriate.
Makes informational presentations to various groups on behalf of Office of Clinical Contract Services; represents the organization and the University to various entities as appropriate.
Performs miscellaneous job-related duties as assigned.
Minimum Job Requirements
Bachelor's degree with at least 5 years of experience that is directly related to the duties and responsibilities specified; OR successful completion of at least 60 hours college level credit with 7 years of directly related experience. Verification of education and licensure (if applicable) will be required if selected for hire.
Knowledge, Skills and Abilities Required
Ability to use independent judgment and to manage and impart confidential information.
Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
Strong leadership, interpersonal, and communication skills and the ability to work effectively with a wide range of constituencies at all levels, including internal/external leadership and executives.
Knowledge of negotiation principles and advanced skills in contract negotiation practices.
Skill in the formulation, negotiation, and processing of complex, high value contractual arrangements in a public setting.
Advanced analytical and critical thinking skills.
Ability to analyze and interpret financial data and prepare financial reports, budgets, fair market value analyses and special reports.
Knowledge of medical provider, hospital and ancillary reimbursement methodology, including procedural and diagnosis coding, Medicare RBRVS, OPPS.
Advanced knowledge of public sector contracting procedures, specifications, and documentation requirements.
Ability to make independent administrative decisions and judgments.
Organizing and coordinating skills; ability to effectively manage a project over the course of months.
Ability to develop and deliver presentations.
Ability to provide operational guidance and leadership to technical staff in area of specialty.
Knowledge of federal and state healthcare regulations, laws, reimbursement practices and policies.
Conditions of Employment
Must be employment eligible as verified by the U.S. Dept. of Health and Human Services Office of Inspector General (OIG) and the Government Services Administration (GSA).
Must pass a pre-employment criminal background check.
Fingerprinting, and subsequent clearance, is required.
Must provide proof of varicella & MMR immunity or obtain vaccinations within 90 days of employment.
Must obtain annual influenza vaccination.
If this position is assigned to a clinical area, successful candidate will be required to complete a pre-placement medical evaluation/health screen. Required N-95 mask fitting, testing, vaccinations to include annual TST, Tdap, and Hepatitis B will be determined based on location and nature of position.
Working Conditions and Physical Effort
Work is normally performed in a typical interior/office work environment.
No or very limited exposure to physical risk.
No or very limited physical effort required.