Telecommute Network Contracting Associate Director

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Sat, Apr 14, 2018

Job Category: Account Management, Business Operations

Telecommute Level: Occasionally

Travel Requirements: Field Travel Required, Some Travel

Weekly Hours: Day Shift, Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

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