Remote Network Provider Contract Manager

Job is Expired
Location: Nationwide
Compensation: Salary
Staff Reviewed: Thu, Sep 16, 2021

Job Summary

A global healthcare company is filling a position for a Remote Network Provider Contract Manager.

Candidates will be responsible for the following:

  • Managing performance target setting, performance reporting and associated financial models relative to provider network contracting
  • Guiding development of geographically competitive, broad access, stable networks that achieve objectives
  • Ensuring that network composition includes an appropriate distribution of provider specialty types

Position Requirements Include:

  • Undergraduate degree or work equivalent experience
  • 3+ years of experience in a network management-related role handling complex network providers
  • 3+ years of experience with direct provider contracting, including facility, physician, and ancillary providers
  • Experience with client-facing responsibilities, including issue resolution and contract negotiations
  • Intermediate level of knowledge of claims processing systems and guidelines
  • Experience performing network adequacy analysis

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