Remote Network Contract Manager

Job ID: Available for Members

Location: New York

Compensation: To Be Discussed

Staff Reviewed: Tue, Aug 25, 2020

This job expires in 4 days

Job Category: Information Technology

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Job Summary

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

Candidates will be responsible for the following:

  • Managing target setting, performance reporting and associated financial models
  • Establishing and maintaining strong business relationships with physicians throughout New York Region
  • Ensuring that network composition includes an appropriate distribution of provider specialties

Applicants must meet the following qualifications:

  • Travel Yes, 25 % of the Time
  • 2+ years of experience in a network management-related role
  • 2+ years of experience using financial models and analysis to negotiate rates with providers
  • In-depth knowledge of Medicare Reimbursement Methodologies
  • 2+ years of experience in performing network adequacy analysis
  • Intermediate level of knowledge of claims processing systems and guidelines