Manager, Network Contracting (Florida)Active$101K–$132K
The opportunity
We're hiring a Manager to join our Network Contracting Team.
What you'll do
Implement contracting strategies under the direction of Network Lead and in: partnership with Market Leaders that align with the company's overall network adequacy, development and cost management objectives.
Manage and negotiate contracts with assigned healthcare providers, focusing: on favorable terms and compliance with organizational standards and regulatory requirements.
Supports comprehensive reviews and analyses of assigned provider contracts,: identifying areas for improvement and optimization.
Utilizes data and analytics of provider financial issues and competitor: strategies to support informing negotiation and contracting decisions.
Monitor team performance for defined metrics and SLAs including but not: limited to provider outreach and contract completion.
Collaborate with the provider services team regarding the servicing,: education and communication to our provider network.
What they're looking for
- Monitor assigned networks to gauge compliance with standards, developing: corrective action plans with network contracting and market leadership to remediate deficiencies.
- + years in healthcare network contracting, including executing contracts with: health systems, hospitals or national providers, provider relations, or network management
- + years of experience managing complex Provider Network strategies and negotiating complex contracts
- + years experience in Health Insurance (Individual and/or ACA Market Place) and/or Healthcare industry
