This is a description of a Staff Position Classification. It is not an announcement of a position opening. To view descriptions of current openings, please go to UNMJobs and Search Postings to view positions that are currently accepting applications.
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 Health Sciences Center in the negotiation and execution of complex clinical contracts with a wide variety of health care programs/services, agencies, and contract vendors. Project manages contract implementation and coordinates contract maintenance through the resolution of clinical, administrative, and operational issues among stakeholders.
Duties and Responsibilities
Reviews, negotiates, writes, and processes complex clinical contracts for a wide variety of clinical programs, specialty operations, and vendors.
Establishes rapport and maintains working relationships with current and potential contracting agencies and constituencies.
Initiates and leads joint operating committees with designated major contractors to facilitate contract implementation and compliance, and to resolve adminisrative, clinical, and operational issues.
Identifies, analyzes, and evaluates contractual compliance issues; resolves or facilitates resolution of compliance-related problems among constituencies, as appropriate.
Responds to, initiates, and evaluates requests for clinical contracts for multiple product lines and venues; makes recommendations to leadership on appropriate course of action.
Serves as an expert resource to internal and external constituents with regards to clinical contract planning, development, interpretation, implementation, and maintenance.
Provides consultative support to leadership in the review and evaluation of existing clinical contracts; makes recommendations regarding contract retention or termination, as appropriate.
Participates in development, implementation and maintenance of policies, objectives, short-and long-range planning; develops and implements projects and programs to assist in accomplishment of established goals.
Remains abreast of current and emerging issues related to the national, state, and local health care market, contracting practices, privacy, compliance and/or government rules and regulations.
Performs miscellaneous job-related duties as assigned.
Minimum Job Requirements
Bachelor's degree; at least 5 years of experience directly related to the duties and responsibilities specified.
Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.
Knowledge, Skills and Abilities Required
Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
Knowledge of contracting process and associated local, state, federal, and other regulations.
Ability to analyze and interpret complex issues and make evaluative judgments.
Advanced knowledge and understanding of the clinical contracting process for managed care, government, and the private sector.
Skill in examining and re-engineering operations and procedures, formulating policy, and developing and implementing new strategies and procedures.
Knowledge of federal, state, and local regulations, guidelines, and standards in area of expertise.
Ability to write, review, and revise contracts, to include pricing and cost/benefit analysis.
Ability to negotiate and manage contractual arrangements.
Project management skills and the ability to resolve complex problems and issues.
Working Conditions and Physical Effort
No or very limited physical effort required.
No or very limited exposure to physical risk.
Work is normally performed in a typical interior/office work environment.
The University of New Mexico provides all training required by OSHA to ensure employee safety.