Job Description

 

Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health’s robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); The University of Texas MD Anderson Cancer Center; and the Tilman J. Fertitta Family College of Medicine at the University of Houston.

Skills / Requirements

Job Summary:

Performs all activities associated with the negotiating of hospital/pharmacy contracts as well as the credentialing of hospitals/pharmacies/providers. Acts as a liaison between Harris Health System and payors. Models upcoming State/Federal/proposed changes and provides executive level summaries. Creates Payor Report Cards and presents them to executive leaders who are charged with making decisions associated with these payors' future with Harris Health System.

Minimum Qualifications

Degrees / Work Experience / School Education:
Bachelor's Degree (And) Six (6) Years Work Experience in commercial, Medicaid, Medicare, contracting, and credentialing/ enrollment

(Or)

High School Diploma or GED (And) Ten (10) Years Work Experience in commercial, Medicaid, Medicare, contracting, and credentialing/ enrollment

Communication Skills:
Above Average Verbal (Heavy Public Contact)
Writing /Composing
Correspondence/Reports

Proficiencies:
MS Access
MS Excel
MS Word
Personal Computer

Job Attributes

Knowledge/Skills/Abilities:
Analytical Abilities
Research Knowledge and Abilities
Statistical Knowledge and Abilities

Work Schedule: Hybrid Telecommuter

Equipment Operated: PC, fax, scanner, copier

Application Instructions

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