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