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Network Contracting Specialist

Remote: 
Full Remote
Contract: 
Experience: 
Mid-level (2-5 years)
Work from: 

Offer summary

Qualifications:

Bachelor’s degree or equivalent experience, 3+ years in provider contracting, Experience negotiating with physician groups, Knowledge of managed care systems, Existing relationships with Texas providers.

Key responsabilities:

  • Manage contract negotiations with healthcare providers
  • Build and maintain relationships with partners
  • Analyze financial impact of provider contracts
  • Resolve elevated provider service complaints
  • Ensure timely and accurate network filings
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Curative Scaleup https://curative.com/
201 - 500 Employees
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Job description

Duties And Responsibilities

  • Manages contract negotiations with physicians and physician groups. Conducting several negotiations simultaneously to meet growth demands.
  • Proactively builds relationships that nurture provider partnerships to support the local market strategy.
  • Initiates, nurtures and maintains effective channels of communication with matrix partners including but not limited to, Claims, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing.
  • Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain competitive position.
  • Identify and manage initiatives that improve total medical cost and quality.
  • Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms.
  • Assists in resolving elevated provider service complaints. Research problems and negotiate with internal/external partners/customers to resolve complex and/or escalated issues.
  • Manages key provider relationships and is accountable for critical interface with providers and business staff.
  • Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
  • Partner with Regulatory Affairs to ensure all network filings are timely and accurate.
  • Performs other duties as assigned


Position Requirements

  • Bachelor’s degree or equivalent experience in related field, plus 3+ years of work experience within provider contracting and/or health insurance
  • Experience with physician and physician group contracting and negotiations
  • Experience negotiating delegated credentialing agreements
  • Experience in developing and managing key provider relationships including senior executives
  • Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners
  • Intimate understanding and experience with larger, more complex integrated delivery systems managed care, and provider business models
  • Team player with proven ability to develop strong working relationships within a fast-paced organization
  • The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations
  • Customer centric and interpersonal skills are required Superior problem solving, decision-making, negotiating skills, contract language and financial acumen
  • Remote with occasional travel (5%)
  • Existing relationships with physicians and physician groups in Texas is required

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Industry :
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Problem Solving
  • Verbal Communication Skills
  • Teamwork
  • Customer Service
  • Relationship Management
  • Decision Making

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