Job Summary
A healthcare company has a current position open for a Remote Network Contract Manager.
Candidates will be responsible for the following:
- Managing unit cost budgets, target setting, performance reporting and associated financial models
- Guiding development of geographically competitive, broad access, stable networks
- Evaluating and negotiating contracts in compliance with company templates
Must meet the following requirements for consideration:
- 2+ years of experience in a network management-related role
- In-depth knowledge of Medicare Resource Based Relative Value System
- 2+ years of experience in fee schedule development using actuarial models
- 2+ years of experience using financial models and analysis to negotiate rates with providers
- Intermediate level of knowledge of claims processing systems and guidelines