Senior Contract Analyst at Gila Regional Medical Center

Silver City, New Mexico, United States -

Full Time

Start Date

Immediate

Expiry Date

02 Jun, 26

Salary

0.0

Posted On

04 Mar, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Contract Review, Regulatory Compliance, Negotiation, Cost Containment, Legal Counsel Collaboration, Document Management, Process Workflow, Training, Critical Thinking, Confidentiality, Record Keeping, Data Entry, HIPAA, Anti-Kick Back Statute, Stark Law, Microsoft Word

Industry

Hospitals and Health Care

Description

Description GENERAL DESCRIPTION The Senior Contract Analyst is responsible for the management of an effective contract process work-flow. In compliance with the Contract Policy, responsible for contract review, evaluating clauses, stipulations, obligations and liabilities of the contracts to review suitability for the organization. Analyzes the details of business contracts to ensure regulatory compliance in language and provisions to maintain and demonstrate compliance with CMS, OIG, and other applicable federal and state regulations especially as it relates to county governance of hospital. Strives for contract terms that are favorable for the organization; seeking cost containment and cost-cutting opportunities, which may include negotiating / renegotiating pricing, terms and other provisions. Ensures management is informed on terms and expectations for both parties. Responsible for ensuring the GRMC Contract Policy is current and relevant. The Senior Contract Analyst is responsible for collaboration with the organization’s legal counsel in drafting physician and advanced practice provider contracts, and other complex documents as necessary, with attention to cost efficiency of counsel’s time. This position oversees the Contract Analyst, as both are responsible for document upload in contract library software and other contract processes. Is a resource for and communicates with related departments for collaboration and teamwork to accomplish contract process, end-to-end. Oversees the preparation and revision of various other contract documents. Responsible for the oversight of orientation and training of GRMC caregivers concerning regulatory and compliance matters related to contracts and the contract process. The Senior Contract Analyst is responsible for oversight of process and assistance in retrieval and maintenance of the organization’s various licenses, certifications and other vital documents, ensuring their storage in the contract library within a reminder system that ensures centralization of the documents’ location, providing timely information for renewals. This position serves as an Intake Resource for compliance concerns, preparing reports as appropriate for submission to others, pursuant to chain of command. This position requires a high degree of responsibility regarding confidentiality and the handling of sensitive documents and information, as well as critical-thinking skills. This position supports GRMC document owners in accomplishing various tasks and responsibilities related to contracts and contract compliance. This position oversees the Contract Analyst. ESSENTIAL FUNCTIONS Oversees and facilitates the contract management and approval process from pre-contract through post-signature phases, ensuring GRMC Contract Policy is followed. Responsible for maintaining and updating the GRMC Contract Policy, to ensure the contract process meets requirements for a New Mexico county-owned healthcare system, while serving the needs of the organization and maximizing use of resources in the most cost-efficient manner. Responsible for analyzing and editing contracts and contract documents to ensure regulatory compliance in contract language and provisions with particular attention to county-owned governance. Monitors status and facilitates progression and completion of contracts in review process, to include tracking and communicating document status. Actively provides or facilitates accurate record keeping and change management of business and provider contracts (physicians, nurse practitioners, physician assistant, etc.) Oversees accurate and timely data entry of contract specifications and terms into database Oversees the overall maintenance and updating of documents in the GRMC contract database. Oversees the development and maintenance of processes that support critical contract events (e.g., renewals, termination and due dates) to include related document preparation and routing Oversees the retrieval of the organization’s various licenses and certifications for storage in the library repository to centralize their location and set up a timely reminder system for renewals. Oversees maintenance of electronic folders of contracts and templates with up-to-date version control Oversees and assists in developing and maintaining periodic, e.g., weekly, monthly & quarterly reports on the status of business and provider contracts Oversees and assists in identifying and obtaining the resources necessary for implementing contract process, education and communication within the context of GRMC’s organizational constraints. Has or attains an accurate working knowledge of the relevant state and federal laws, rules, and regulations, including but not limited to HIPAA, EMTALA, The Anti-Kick Back Statute, Stark, Deficit Reduction Act, New Mexico Review Organization Immunity Act, New Mexico Procurement Code, Department of Health and Human Services Requirements, including OIG requirements, and others as needed. Responsible for establishing and maintaining productive and efficient working relationships with the GRMC Departments of Quality / Regulatory, Data Management, Health Information Management (HIM), Risk Management, Finance, Medical Staff Services, Human Resources and Information Systems. Directly interfaces with Accounts Payable and Materials Management Departments and Project Steering Committee. Works cooperatively with and assists these areas as directed by the Chief Executive Officer to address CMS, HIPAA, OIG, and other regulatory or legal matters that overlap between those departments as it relates to contracts, and the Contract department. Monitors GRMC’s Compliance Hotlines, as an intake resource for compliance concerns, preparing reports and documentation as needed for submission to others, pursuant to chain of command. At all times, maintains the strictest of confidentiality regarding all Compliance, Legal, Risk Management and Human Resource matters and shall disclose confidential information only at the direction of the Chief Executive Officer, Chief Compliance Officer, and in accordance with the relevant law. Performs other duties as appropriate and necessary for the efficient, effective operation of the Contract Department and/or as requested by the Chief Executive Officer. Requirements EDUCATION & TRAINING REQUIREMENTS Registered Nurse or other clinical professional strongly preferred. B.A. or B.S. degree from a four year college or university or Associate’s Degree with an equivalent combination of four years education and experience preferred Three or more years of related contract experience and/or training preferred Four or more years of software solution / work flow process experience and/or training preferred Preference will be given to candidate with compliance, contract, legal, risk management, or regulatory background, training and/or experience. WORK EXPERIENCE REQUIREMENTS Analysis and management of contracts required Prior office experience with public contact, in customer service, or a closely related position (legal or healthcare environment experience preferred) Prior experience reviewing documents for content and disposition Must have excellent Microsoft Word & Microsoft Outlook skills Must have experience with Office 365, Microsoft Excel and Microsoft Power Point and the ability to create and manipulate documents in these environments Must have demonstrated ability for critical thinking and analysis Experience in importing / exporting files and merging data Knowledge of hospital operations strongly preferred Experience with legal environments preferred Compliance experience preferred Note: Job description available upon request**All required documents must be presented at time of hire.**EXTERNAL APPLICANT: Employment is contingent upon successful completion of pre-employment drug and alcohol testing.GRMC is an Equal Opportunity Employer

Responsibilities

The Senior Contract Analyst manages the contract process workflow, ensuring compliance with organizational policy by reviewing, evaluating, and negotiating contract terms for suitability and cost-efficiency. This role also involves overseeing the Contract Analyst, collaborating with legal counsel on drafting complex documents, and managing the maintenance of contract libraries and vital organizational documents.