Job summary
The Contracts Specialist is responsible for assisting with the development and maintenance of a comprehensive health service delivery system and providing high quality and cost-effective service to Yamhill Community Care (YCCO) members.The primary focus is on the retention and growth of administrative services, community investments, grants, and other service agreements as needed.
Job seniority: mid-to-senior level
Responsibilities
• Develops and implements of a contracting system that supports YCCO's ability to meet contractual and regulatory obligations.• Facilitates development and negotiation of contracts, agreements, memorandum of understanding (MOU), grant agreements, and letters of agreement.• Maintains knowledge of Federal, State, and National contracting rules and regulations, including those relevant to Behavioral Health contracts.• Collaborates in the development and maintenance of a comprehensive health service delivery system which provides high quality and cost-effective service to YCCO members.• Knowledgeable in the principles of managed care, value-based purchasing, and alternate payment methodology.• Actively follows contracting best practices.• Leads assigned negotiations (i.e., third party administration, grants, and ancillary) and ensures that negotiations result in the unit cost targets expected and meet the objectives of the company and approximate YCCO's reimbursement to the contracted party.• Coordinates pre-award grant and contract activities.• Supports, collaborates with, and backfills contracting responsibilities as needed within the Contracts team.• Ensures integration of work between program functional areas and promotes effective communications within YCCO and between external partners and providers.• Identifies opportunities for cost savings and process improvements.• Tracks and ensures accuracy of contracts and amendments.• Monitors and facilitates response to requests for amendments and rate increases.• Drafts and amends YCCO contracts, agreements, memorandum of understanding, and letters of agreement.• Works with Contracts Manager and designated subject matter experts in evaluating contract language, terms, and requirements.• Models current and proposed contract terms to calculate the bottom-line impact of those terms.• Conducts analysis related to vendor contract renewals, including market research and competitive analysis.• Supports and directs internal funding mechanisms by helping review RFAs/RFPs, creating and sending out award letters, tracking account setup, and helping track progress of awardees.• Collaborates with other departments to address and resolve operational issues.• Serves as a technical and operational contract subject matter expert.• Prepares reports as requested.• Strategizes with other members of the YCCO team to ensure access and quality of care.
Requirements
• Working knowledge of Oregon Health Plan (OHP) benefits, Oregon Administrative Rules (OAR), Oregon Statutes, and Community Care Organization (CCO) requirements.• Knowledgeable about health system contracting and procurement best practices.• Excellent organizational skills including ability to handle multiple priorities and demands simultaneously in a dynamic work environment while maintaining high attention to detail and accuracy.• Ability to work independently, use sound judgment, anticipate next steps and be proactive as part of a diverse team within a Matrix or shared resources across departments work model.• Excellent computer skills, including Microsoft Windows, Word, Excel, and Outlook.• Ability to communicate both professionally and effectively in all forms of communication.• Ability to work in an environment with diverse individuals and groups.• Ability to remain flexible, positive, and adaptable.• Ability to work across the YCCO region and to work remotely, as needed.• Three (3) years of grants, contracts, and/or procurement administration experience.• Bachelor's degree in Finance, Business, Business Law, or Economics (preferred).• One (1) year experience in Federal or State grants, Managed Healthcare, and/or Medicaid Contracting experience (preferred).
Key Skills Needed
• Working knowledge of Oregon Health Plan (OHP) benefits, Oregon Administrative Rules (OAR), Oregon Statutes, and Community Care Organization (CCO) requirements.• Knowledgeable about health system contracting and procurement best practices.• Excellent organizational skills including ability to handle multiple priorities and demands simultaneously in a dynamic work environment while maintaining high attention to detail and accuracy.• Ability to work independently, use sound judgment, anticipate next steps and be proactive as part of a diverse team within a Matrix or shared resources across departments work model.• Excellent computer skills, including Microsoft Windows, Word, Excel, and Outlook.• Ability to communicate both professionally and effectively in all forms of communication.• Ability to work in an environment with diverse individuals and groups.• Ability to remain flexible, positive, and adaptable.• Ability to work across the YCCO region and to work remotely, as needed.
