Item 3.A-May 10, 2013
ADMINISTRATIVE FACULTY POSITION DESCRIPTION QUESTIONNAIRE
To expedite and facilitate the PDQ review process, please send the PDQ and Org Chart electronically to
marshag@unr.edu for discussion and for initial review before routing PDQ for approval signatures.
Questions - call UNR Faculty HR at 682-6114
INSTRUCTIONS: See http://www.unr.edu/hr/compensation-and-evaluation for complete instructions.
Incumbent(s) Name (if applicable): Gail I. Smith
Position #(s): 17638
Current Title: Director, Contracting (UNSOM)
Current Range: 4
(JCC:86921;3H)
Department: Deans Office – Reno / General Counsel
College/Division: University of Nevada
(GCR)
School of Medicine/VP Health Sciences
Account #(s): 1201-119-001G; 1201-119-001D;1108-119-5031
Action Proposed: (check all that apply)
( ) New position: Proposed Range:
Proposed Title:
( X ) Title Change, Proposed Title: Director, Contracting and Credentialing (UNSOM)
( X ) Proposed Reassignment from Range 4
to Range 5
( ) Revised PDQ only (no change in range or title)
JCC (Current
( ) Line of Progression (show titles below)
or new HR
Range:
assigned):
I certify that the statements in this description are accurate and complete to the best of my knowledge.
____________________________________________________________
Employee’s Signature
__________________
Date
I/we have reviewed the statements in this form and they accurately reflect the job assignments.
____________________________________________________________
Immediate Supervisor’s Signature Thomas Ray, General Counsel, UNSOM
__________________
Date
____________________________________________________________
Director/Chair/Dean Thomas Schwenk, VP, Health Sciences/Dean, UNSOM
__________________
Date
Approved for Salary Placement Committee review.
____________________________________________________________
__________________
Pres / Vice Pres / Vice Prov Signature Jannet Vreeland
Date
Vice Provost and Secretary of University
Action Approved by the Provost/President (Completed by Faculty HR):
67394 Range:
5
Pos #(s): 17638
JCC:
EEO: 3H
Eff: 5/1/2013
Approved Title: Director, Contracting and Credentialing (UNSOM)
Employee signs on “final” stamped approved PDQ and sends to HR for personnel file.
Employee Signature:_______________________________________________ __________________
Date
Printed Name: ____________________________________________________
Rev: 10/1/2012
Position Description – Director, Contracting and Credentialing (UNSOM)
Page 2
1. Summary Statement: State the major function(s) of the position and its role in the
university. Attach an organizational chart with positions, ranges, and names for the division
which reflects the position in it as well as those supervised in the department. (This section is
used for advertisement of the position.)
The Director of Contracting and Credentialing completes and manages all facets of business
contracting for the University of Nevada School of Medicine (UNSOM) and related clinical practices.
The position oversees and reviews with the appropriate individuals all Integrated Clinical Services
(ICS) and UNSOM contracts and arrangements to ensure that the business models and contract
terms/language are in compliance with all Federal, State and local regulatory requirements, including
Nevada System of Higher Education (NSHE) policy. The position is responsible for the strategic
direction and leadership of the Reno and Las Vegas credentialing departments and the coordination
of credentialing activity across all ICS Clinic sites, which has a direct impact on the financial income of
ICS revenue. The position reports to the UNSOM General Counsel.
2. List the major responsibilities, including percentage of time devoted to each. Provide
enough detail to enable a person outside the department to understand the job (percentage
first with heading and then bulleted information).
60% - Contract Management
 Develops, installs, and maintains contract tracking system that enables oversight and control
of contract preparation, improving the quality and efficacy of clinical, managed care contracts,
lease contracts and other UNSOM related contracts
 Performs complex negotiations in collaboration with the directors of operations with a wide
range of health care providers, agencies, and contract vendors.
 Drafts, reviews, and recommends external provider contracts of particular significance to the
UNSOM
 Facilitates activities concerned with amendments to or extensions of contracts
 Facilitates, in conjunction with the directors of operations and Senior Associate Dean of
Finance, the annual establishment, negotiation, and monitoring of the contracts integral to the
formal relationships between the UNSOM and affiliated hospitals
 Assists the directors of operations and appropriate UNSOM leadership in the negotiation of
the annual budget with each affiliated hospital
 Analyzes complex contractual and regulatory issues in areas of managed care and develops
or reviews and modifies UNSOM and ICS policies to ensure compliance
 Anticipates and identifies contractual issues of concern to UNSOM and ICS administration, in
order to develop negotiation strategies and proposals; coordinates with general counsel on
provider contracts, as appropriate
 Remains abreast of current and emerging issues related to the national, state, and local health
government rules and regulations
 Compiles monthly ICS Contracts lists for Northern Regional Executive Committee and
Southern Regional Executive Committee approval
20% - Credentialing Management
 Provides strategic direction and leadership to ICS Credentialing Departments and the
coordination of credentialing activity across all ICS Clinic sites
 Supervises the processing of accurate, high quality credentialing and re-credentialing of
UNSOM physicians in a timely and cost effective manner with hospitals and third party payers
 Ensures UNSOM physician credentialing files are in compliance with licensing, regulatory, and
accreditation bodies
Position Description – Director, Contracting and Credentialing (UNSOM)
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Coordinates the credentialing of physicians with the negotiation of third party payers to ensure
all UNSOM specialties and primary care physicians are identified and reimbursed in a manner
that is cost effective
Provides communication and education of the credentialing process for UNSOM employee(s)
10% - Contract Analysis
 Develops and/or coordinates the effective strategy, systems and processes to evaluate
contract performance and cost effectiveness and to ensure the process provides for timely
execution of all contracts
 Analyze the contracts and past operations, trends and costs, estimated and realized
revenues, administrative commitments, and obligations incurred
 Facilitates the development, installation, and maintenance of contract analysis and tracking
that provides control of expenditures
 Advises UNSOM and ICS administration regarding contractual rights, obligations, and other
contractual matters such as effective use of resources and legal issues
 Interprets contracts for UNSOM and ICS administration
 Compiles, analyzes and reports on contract data which impacts UNSOM financial decisions
10% - Administrative & Supervision
 Designs, establishes and maintains an organizational structure and staffing to effectively
accomplish the organization’s goals and objectives; recruits, employs, trains, supervises, and
evaluates contracting and credentialing staff
 Arranges and coordinates professional development opportunities for UNSOM staff in the area
of contract and credentialing management
3. Describe the level of freedom to take action and make decisions with or without
supervision and how the results of the work performed impact the department, division and/or
the university as a whole.
Level of Freedom:
The Director is responsible for the management of all day-to-day UNSOM contract and credentialing
processing and provides contract and credentialing information to the appropriate personnel for
decision-making. Independently acts on credentialing issues. Timeliness, accuracy and degree of
analysis required are essential to the financial well-being of UNSOM. The Director consults with the
General Counsel on strategic and long-range planning for the unit.
Impact:
Decisions, negotiations and judgments made by the Director of Contracting will have significant
impact on the financial condition of UNSOM. Incomplete, untimely, or inaccurate information will
negatively impact the financial and operational aspects of UNSOM and ICS and its reputation.
Failure to adequately perform in credentialing could lead to litigation, fines, and lost revenue.
4. Describe the knowledge, skills (to include cognitive requirement and verbal and written
communication), and abilities (to include task complexity, problem solving, creativity and
innovation) essential to successful performance of this job (in bullet format).
Knowledge of:
 Contracting and Credentialing process and associated local, state, federal, and other laws and
regulations
 Health care business development and strategy
Position Description – Director, Contracting and Credentialing (UNSOM)
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Institutional policies and procedures, regulations and bylaws, and the legal environment within
which they operate
Clinical contracting and credentialing concepts, practices, and standards for managed care,
government, and the private sector
Current and emerging issues and trends in the health care market at all levels within the
community
The unique challenges facing academic health centers
Fiscal analysis
Skills:
 Strategic planning skills
 Perform complex problem solving related to health care management; Quantitative
organizational, and administrative skills; leadership and project management skills
 Advanced analytical, evaluative, and objective critical thinking skills
 Supervisory and training skills to include employee development and performance
management
 Excellent verbal and written communication to include presentations to large and small groups
Ability to:
 Foster a cooperative work environment
 Work as a collaborative team member with individuals of varying levels of authority in multiple
organizations
 Establish and maintain effective relationships with “customers” and gain trust and respect
 Manage, prioritize, and complete multiple projects/tasks in an efficient and timely manner while
maintaining focus on organizational goals
 Negotiate and manage complex contractual arrangements
 Maintain confidentiality of information
 Maintain professional business and work ethics and standards
 Manage resources effectively and efficiently
 Travel as required
5. Describe the type of personal contacts encountered in performing the duties of the job.
Explain the nature and purpose of these contacts: i.e., to provide services, to resolve
problems, to negotiate.
Internal
General Counsel
UNSOM and ICS Administration
University Administration
External
Hospitals, Insurance
Companies, Vendors,
Government Agencies
Reason for Contact
To report directly to and act on behalf of to carry out delegated
duties and to facilitate and maintain sound contract policy and
implementation of such
To prepare and coordinate the negotiation of contracts and
provide timely, appropriate and accurate contract information
To problem solve, prepare and process contracts, negotiate and
share information
Reason for Contact
To negotiate, prepare and manage complex contractual
arrangements.
Position Description – Director, Contracting and Credentialing (UNSOM)
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6. Indicate the minimum qualifications which are necessary in filling this position should it
become vacant. Please keep in mind the duties/responsibilities of the position rather than the
qualifications of the incumbent.
a.
Minimum educational level, including appropriate field, if any.
Bachelor’s Degree from a regionally accredited institution with emphasis in health care
administration or business administration.
b.
Minimum type and amount of work experience, in addition to the above required
education necessary for a person entering this position.
Bachelor’s Degree and six years, or a Master’s Degree and four years, of experience in
contracting and credentialing in a health care, clinical, public, or higher education
environment
Preferred Licenses or Certifications: None
c.
Indicate any license or certificate required for this position.
None