Remote Network Contract Manager

Job ID: Available for Members

Location: Delaware, Pennsylvania

Compensation: To Be Discussed

Posted: Wednesday, August 08, 2018

Job Category: Business Operations, Healthcare

Telecommute Level: Frequently

Travel Requirements: Field Travel Required, Some Travel

Weekly Hours: Day Shift, Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Job Summary

A healthcare company is in need of a Remote Network Contract Manager.

Core Responsibilities of this position include:

  • Managing unit cost budgets, target setting, and performance reporting
  • Guiding development of geographically competitive, broad access, stable networks
  • Evaluating and negotiate contracts in compliance with company templates

Required Skills:

  • 4+ years of experience in a network management-related role
  • In-depth knowledge of Medicare Resource Based Relative Value System
  • 3+ years of experience in fee schedule development using actuarial models
  • 3+ years of experience using financial models and analysis to negotiate rates with providers
  • Intermediate level of knowledge of claims processing systems and guidelines
  • 3+ years of experience in performing network adequacy analysis