Building Name: UVMMC - 40 IDX DriveLocation Address: 40 IDX Drive, South Burlington VermontRegularDepartment: UVMHN – High Value CareFull TimeStandard Hours: 40Biweekly Scheduled Hours:Shift: DayPrimary Shift: -Weekend Needs: NoneSalary Range: Min $39.17 Mid $48.97 Max $58.76Recruiter: Cathleen Sullivan
Responsible for management of the contracting lifecycle from strategy through implementation. Leads negotiations, contract drafting, reimbursement analysis, and network optimization activities for assigned payer relationships.
Works collaboratively with payers, operational leaders, finance, legal counsel, and provider groups to ensure contracts support organizational goals.
Reports To: Vice President, Payer Strategy and Contracting
Key Responsibilities
Contract Lifecycle Management
· Negotiate and manage payer agreements and amendments.
· Draft and review contract language in collaboration with legal counsel.
· Maintain contract inventory and renewal schedules.
· Ensure implementation of negotiated terms.
Financial Analysis
· Evaluate reimbursement methodologies and fee schedules.
· Model financial impact of proposed contract changes.
· Support development of negotiation strategies based on utilization and payment trends.
Network Strategy
· Analyze network participation opportunities.
· Support provider network adequacy discussions.
· Manage payer directory and network-related issues.
Issue Resolution
· Lead contract interpretation discussions.
· Resolve reimbursement disputes and operational contract issues.
· Advocate for organizational interests in payer policy discussions.
Qualifications
· Bachelor's degree required.
· 5-8 years healthcare contracting experience.
· Knowledge of hospital and physician reimbursement methodologies.
· Experience negotiating managed care agreements.
· Strong analytical and project management skills.
The University of Vermont Medical Center is part of a six-hospital network serving patients and their families in Vermont and northern New York. We're not just caregivers and staff - we're your friends and neighbors, offering expertise, kind words and compassionate care when and where you need them. We are dedicated to providing you with the best medical care possible.
The University of Vermont Medical Center, along with the Robert Larner M.D. College of Medicine The University of Vermont and College of Nursing and Health Sciences, is one of 138 academic medical centers in the country. Through The University of Vermont Health Network and collaborative relationships throughout Vermont and northern New York, we are able to provide the highest quality care, informed by academic research, to patients throughout our region.
The UVM Medical Center, along with its three founding organizations, The University of Vermont College of Medicine and College of Nursing and Health Sciences, share a rich history dating back to the 1800s.
The UVM Medical Center is committed to the development of an Integrated Delivery System which provides high value health care to the communities we serve and enhances our academic mission. Our mission is to improve the health of the people in the communities we serve by integrating patient care, education, and research in a caring environment.
