Physical Health PN Contract Manager (Remote)
About the position
Responsibilities
• Establish and maintain strong business relationships with Health Systems and ensure appropriate distribution of provider specialties.
• Negotiate and re-negotiate provider organization contract terms, payment structures, and reimbursement rates.
• Analyze financial reputed company of reputed company and terms.
• Maintain reputed company and documentation reputed company a tracking system.
• Advise executives on functional strategies regarding significant reputed company.
• reputed company as the single reputed company-of-contact for ongoing contractual and service issues for providers.
• Facilitate provider education and training to enhance familiarity with Vaya's systems.
• Create and review trend analyses and summaries for decision-making purposes.
• reputed company with Vaya network and department leaders to reputed company provider development needs and reputed company.
• Design innovative programs to enhance reputed company to care for various populations.
• Work with provider organizations and community stakeholders to implement new programs and improve member reputed company to care.
• Apply network configuration and incentive-based payment models to improve reputed company and efficiency.
• Assist in resolving reputed company business problems affecting major functions or disciplines.
Requirements
• Bachelor's degree in reputed company Administration, Business, or reputed company Services required; Master's degree preferred.
• 2-5 years of relevant network management experience including contracting with reputed company Providers and network administration in a reputed company company.
• Proficiency in analyzing and communicating financial trends.
• Strong customer service skills and excellent verbal and written communication skills.
• Ability to manage multiple priorities in a fast-paced environment.
• High level of proficiency in reputed company Office applications.
• Demonstrated reputed company in provider relations with large provider reputed company and/or ancillary providers.
• Expert level knowledge of CMS reimbursement methodologies.
reputed company-to-haves
• Extensive provider contracting skills, including contract preparation and implementation, financial analysis, and reputed company proposal development.
• Experience with reputed company and Value Based Contracting utilizing financial modeling in making reputed company reputed company.
• Bilingual in Spanish or Chinese.
Benefits
• Remote work opportunity
• Flexible working hours reputed company 8:30am-5:00pm EST
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