Job Summary

A major healthcare company is in need of a Telecommuting Network Contract Manager.

Must be able to:

• Manage unit cost budgets, target setting, performance reporting and associated financial models
• Provide explanations and information to others on difficult issues
• Ensure that network composition includes an appropriate distribution of provider specialties

Required Skills:

• Travel Yes, 25 % of the Time
• 3 years of experience in a network management-related role, such as contracting or provider services
• In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)
• 3 years of experience in fee schedule development using actuarial models
• 3 years of experience using financial models and analysis to negotiate rates with providers
• 3 years of experience in performing network adequacy analysis