Manager, Network Contracting (Northeast Region)New$112K–$147K
The opportunity
Hi We're Oscar. We're hiring a Manager to join our Network Contracting Team.
What you'll do
Implement contracting strategies under the direction of Network Director: and/or Senior Manager 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.
Oversee a small team of contracting associates and specialists, facilitating: leadership, guidance, and mentorship by setting strategic objectives, monitoring team performance, providing training and development opportunities, and fostering a collaborative and innovative work environment.
Conducts 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 inform negotiation and contracting decisions and to support the team in doing so.
Key player in implementation of contracting policies and workflows; monitors: and ensures effective and efficient contracting processes are in place.
What they're looking for
- Monitor key metrics for network performance, cost, and provider satisfaction,: and provide reports to leadership for assigned accounts.
- Ensure you and your team are providing timely resolution of provider issues: related to contract terms, reimbursement, and network participation.
- Build and maintain positive relationships with healthcare providers to ensure network stability and quality.
- Compliance with all applicable laws and regulations
