Job Description
- Job Description:
- Manages complex contracting and negotiations for fee for service and value-based reimbursements
- Builds relationships with provider partnerships
- Initiates and maintains communication with matrix partners
- Contributes to the development of alternative network initiatives
- Supports network analytics for network solution
- Implements initiatives that improve medical cost and quality
- Prepares and analyzes financial impact of provider contracts
- Ensures accurate implementation and administration of agreements
- Resolves elevated provider service complaints and issues
- Requirements:
- Bachelor’s degree; preferably in Finance, Economics, Healthcare or Business related
- 3+ years Managed Care contracting and negotiating experience
- Experience in developing and managing key provider relationships
- Knowledge of complex reimbursement methodologies
- Demonstrated experience in building strong external relationships
- Team player with strong working relationship skills
- Ability to influence through written and verbal communication
- Experience with presentations
- Customer centric and interpersonal skills
- Strong problem solving and decision-making skills
- Knowledge and use of Microsoft Office tools
- Benefits:
- Health insurance
- Flexible work arrangements
- Professional development
- Paid time off
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