Hospital Contract Executive

The Hospital Contract Executive plays a key role in managing contracts with and performance of a number of Bupa's hospital providers. The Executive is accountable for developing effective provider relationships, negotiating robust contracts, ensuring contract compliance, ensuring quality of services provided and maintaining effective cost control for the hospitals they manage. The Executive will play a crucial role in delivery of healthcare reform initiatives that impact on their hospitals and support delivery of initiatives across all providers on behalf of the wider Operations and Healthcare Management team How you'll help us make health happen:

• Accountable for contracts with and performance of circa 10 to 30
• Hospital providers comprising circa £1m to £50m spend pa.
• Support Senior Hospital Contract Manager in managing performance and contracts with larger providers.
• Build effective relationships with hospital providers necessary to ensure delivery of Bupa's goals.
• Agree and manage provider specific relationship development plans that reflect Bupa strategic priorities and provider goals.
• Consider provider proposals for development of new services and approve where appropriate.
• Routinely review hospital costs and performance identifying, escalating and resolving emerging issues with the provider and then within Bupa if issues cannot be resolved.
• Conduct effective negotiations and tenders with hospitals to deliver agreements that meet Bupa's strategic goals, financial targets and maximise value for Bupa members.
• Secure sign off for contract renewal proposals / plans and negotiated contracts in line with governance framework.
• Establish robust contracts and pricing schedules with hospitals that allow Bupa to effectively manage costs, quality and patient experience.
• Manage contracts with hospitals ensuring both Bupa and hospital obligations are met.
• Proactively identify risks in hospital contracts and ensuring that effective controls are put in place and monitored to manage over risks over time.
• Working with Contract Assistant, ensure that all charge code screening
and compliance controls are approved and in place.
• Work with the Claims Processing team to ensure that hospital invoices
comply with the contract, non-compliant charges are highlighted to providers, payment adjusted accordingly and that hospitals correct issues at source.
• Satisfactorily resolve contractual queries and disputes identifying
accounting provisions required for any potential commercial settlement of contractual issues.
• Maintain accurate records of all provider meetings, negotiations and disputes.
• Develop productive working relationships with colleagues in Hospital Management, the wider Operations and Healthcare Management team.
• Participate in shaping and delivering healthcare reform initiatives on behalf of the wider Operations and Healthcare Management team.
  
  Experience of healthcare desirable or other complex, multi service line environment essential.
• Analytical and commercial. Works with large data sets to identify trends, issues and opportunities and to model impact of solutions on customers and the business.
• Systematic approach to managing own workload, prioritising competing demands from multiple stakeholders.
• Track record of successful delivery of performance improvements with third party providers.
• Strong written and oral communication skills, explaining complex issues clearly and concisely, presenting compelling arguments / proposals using fact based evidence and research.
• Builds effective relationships with internal and external stakeholders, able to challenge constructively and resolve conflict / issues productively.
• Experience of negotiating contracts with third parties.
• Forward looking. Able to identify risks, issues, opportunities early and develop and then deliver effective solutions.
• Educated to degree level or equivalent practical experience.
  
  We're a health insurer and provider. With no shareholders, our customers are our focus. Our people are all driven by the same purpose - helping people live longer, healthier, happier lives and making a better world. We make health happen by being brave, caring and responsible in everything we do.
We encourage all of our people to "Be you at Bupa", we champion diversity, and we understand the importance of our people representing the communities and customers we serve. That's why we especially encourage applications from people with diverse backgrounds and experiences. Bupa is a Level 2 Disability Confident Employer. This means we aim to offer an interview/assessment to every disabled applicant who meets the minimum criteria for the role. We'll make sure you are treated fairly and offer reasonable adjustments as part of our recruitment process to anyone that needs them.

Full time permanent - 37.5 hours per week From £50k per annum dependent upon experience and qualifications We make health happen One of Bupa's key goals is to provide readily accessible, high quality, affordable healthcare for our members. To that end the Hospital Management team actively works with hospitals to optimise services provided, improve quality and patient experience, and maximise value for our members., Our benefits are designed to make health happen for our people. Viva is our global wellbeing programme and includes all aspects of our health - from mental and physical, to financial, social and environmental wellbeing. We support flexible working and have a range of family friendly benefits. Joining Bupa in this role you will receive the following benefits and more:
• 25 days holiday, increasing through length of service, with option to buy or sell
• Bupa health insurance as a benefit in kind
• An enhanced pension plan and life insurance
• Onsite gyms or local discounts where no onsite gym available
• Various other benefits and online discounts