Job Summary
An insurance company has an open position for a Telecommute Network Contracting Associate Director.
Core Responsibilities Include:
- Supporting new business launch in diverse markets
- Developing strategies to reach financial goals, and execute contracting strategies to meet local and national objectives
- Analyzing financial, clinical, and operational data to drive improvements in the contract negotiation and implementation process
Qualifications for this position include:
- 50% travel
- Medicare Advantage and fee-for-service operations experience
- Possess 7 years of provider and/or payer managed care contracting experience
- Minimum BA / BS
- 5 years of review and interpretation of managed care / health services agreements
- Knowledge of Risk Adjustment and STARS methodology
