Job Summary

A managed healthcare and insurance company is filling a position for a Remote Network Provider Contract Manager.

Individual must be able to fulfill the following responsibilities:

• Manage performance target setting
• Guide development of geographically competitive, broad access, stable networks
• Research provider footprint and evaluate for gap filling

Qualifications Include:

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