Network Contract Manager

Job Summary

A company is looking for a Network Contract Manager - Remote.

Key Responsibilities

• Negotiate and prepare facility agreements that are geographically competitive
• Achieve objectives for unit cost performance and trend management
• Collaborate with the Provider Network team to ensure appropriate distribution of provider specialties

Required Qualifications

• 3+ years of experience in provider contracting or network management
• 3+ years of experience using financial models to negotiate rates with providers
• In-depth knowledge of fee-for-service, risk sharing, and value-based contracting
• Intermediate knowledge of claims processing systems and guidelines
• Knowledge of managed care contracting concepts and CMS/Medicaid rules