Job Summary
A major healthcare company is filling a position for a Telecommute Network Contract Manager.
Individual must be able to fulfill the following responsibilities:
- Manage target setting, performance reporting and associated financial models
- Ensure that network composition includes an appropriate distribution of provider specialties
- Provide explanations and information to others on difficult issues
Applicants must meet the following qualifications:
- 3+ years in a network management-related role, such as contracting, revenue cycle, or provider services
- 2+ years of experience using financial models and analysis to negotiate rates with providers
- 2+ years of experience in performing network adequacy analysis
- Excellent verbal and written communication skills
- Intermediate level of knowledge of claims processing systems and guidelines
- In-depth knowledge of Medicare reimbursement methodologies, i.e. Resource Based Relative Value System (RBRVS)
