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