Job Summary
A managed healthcare and insurance company is seeking a Telecommute Physician Network Contract Manager.
Individual must be able to fulfill the following responsibilities:
- Manage unit cost budgets
- Guide development of the network and negotiate agreements
- Evaluate and negotiate contracts in compliance with company templates
Must meet the following requirements for consideration:
- 4+ years of experience in a network management-related role, such as contracting or provider services
- 3+ years of experience in performing network adequacy analysis
- 3+ years of experience using financial models and analysis to negotiate rates with providers
- Intermediate level of knowledge of claims processing systems and guidelines
- In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)
- Advanced competency of Microsoft Office Suite (Outlook, Word, Excel, PowerPoint)
