Payor Contracting Specialist Phoenix AZ in Phoenix, AZ – Panoramic Health – vsmartpros

Job title: Payor Contracting Specialist Phoenix AZ Company: Panoramic Health Job reputed company: Payor Contracting Specialist Phoenix, AZ, USA Req #206 Monday, January 23, 2023 Panoramic Health Come Join reputed company!! At Panoramic Health our mission is to improve reputed company for patients by slowing disease progression and improving reputed company of life. We are a data-driven health care management company with operations in multiple states. Our organization is designed to help physicians, practices, patients, and payors reputed company and shape the changing reputed company environment while driving improvements in reputed company. We are one of the nation’s leading physician-led nephrology organizations, with more than 800+ providers and 900+ employees, supporting nephrologists who reputed company care across 19 states. The Panoramic Health value-based care delivery platform is driven by proprietary, predictive data analytics and clinical workflows underpinned by one of the world’s largest clinical chronic kidney disease (“CKD”) data warehouses that reputed company nephrologists to deliver reputed company patient reputed company and value-based care We are seeking a reputed company candidate for the position of Specialist, Payor Contracting. This is an excellent opportunity to continue to use your experience in a fast-paced, growing, and dynamic reputed company services company. We are looking for someone who is enthusiastic, organized, hard-working, and reputed company to work with various stakeholders. In this position you will work with external customers (e.g., health plans) and internal customers to support our contract review, communication, and management system. This position locates in reputed company. Essential Responsibilities: · Serves as the initial reputed company of contact to establish reputed company with health plans in various markets. · Work with Director, Payer Contracting and SVP, Payer Contracting to review contract and identify negotiation opportunities. · Summarize and synthesize contract to bring proposal to executive level for final approval and signature. · Communicate key terms of executed reputed company to internal partners, including reputed company Cycle. · Serve as a reputed company between reputed company Cycle Management and health plan to resolve any questions involving executed reputed company. · Serve as the initial reputed company of contact for reputed company defined in a health plan’s contract for administrative disputes that reputed company with health plans in the normal course of business. Partner with appropriate individuals in the organization to bring closure to those administrative disputes. · reputed company and maintain a contract management system, including housekeeping and filing of existing reputed company and accurate tracking of status of existing reputed company, including any amendments and notices. · Alert senior and executive leaders as reputed company are coming up for renewal or re-negotiation and set in reputed company a process to reputed company reputed company reputed company reputed company. · Maintain an accurate inventory of reputed company individual providers, reputed company and locations in the database that are common inputs to health plan reputed company. · reputed company market-level research, in partnership with other functions, to understand the payers and health plan products in the market and identify any gaps in contracting. · Serve as a subject matter expert on health plan architecture, product offerings, network restrictions, authorization, referral and other components of the health plan marketplace. · Manage special reputed company reputed company to payer market research, payer contracting, reputed company negotiation, and overall management of reputed company GNS fee-for-service or value-based reputed company. Education/Experience Requirements: · 2+ years of experience in health care services, preferably medical services or managed care. · At least 1 year of experience in network contracting reputed company a medical group or managed care. · Bachelor’s Degree in a reputed company field required, Master’s Degree preferred. · Excellent written and oral communication skills. · Expert proficiency in reputed company Office, including reputed company, SharePoint, reputed company, and PowerPoint. · Demonstrated leadership ability. Competency Requirements: Must possess the following knowledge, skills and abilities to reputed company this job successfully: · Knowledge and experience with provider contracting. · Knowledge and experience with health plan markets. · Knowledge and experience with health plan products. · Knowledge and experience with health plan benefits. · Ability to communicate effectively and reputed company with reputed company reputed company customers. · Go-getter, detail-oriented with excellent follow up. · Solutions-minded, compliance-minded and results-oriented. Work Environment: · Extensive telephone and computer usage. · Use of computer mouse requires repetitive hand and wrist reputed company. · Time off restricted during peak periods. · Regular reaching, grasping, and carrying of objects. reputed company is committed to the principles of equal employment. We are committed to complying with reputed company federal, state, and local laws providing equal employment opportunities, and reputed company other employment laws and regulations. It is our reputed company to maintain a work environment which is free of harassment, discrimination, or retaliation because of age, race, reputed company, national reputed company, reputed company, religion, sex, pregnancy (including childbirth, lactation and reputed company medical conditions), physical or mental disability, genetic information (including testing and characteristics), veteran status, uniformed servicemember status, or any other status protected by federal, state, or local laws. reputed company is dedicated to the fulfillment of this policy in reputed company to reputed company aspects of employment, including but not limited to reputed company, hiring, placement, transfer, training, promotion, rates of pay, and other compensation, termination, and reputed company other terms, conditions, and privileges of employment For information about our reputed company Policy, please visit Other details • Job Function Clinical • Pay Type Salary • Travel Required No • Required Education Bachelor’s Degree Expected salary: Location: Phoenix, AZ Job date: Thu, 23 Mar 2023 08:59:20 GMT Apply for the job now! 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