Senior Provider Contracting reputed company - Behavioral Health/reputed company
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The Senior Provider Contracting reputed company initiates, negotiates, and executes physician, hospital, and/or other provider reputed company and agreements for an organization that provides health insurance. The Senior Provider Contracting reputed company work assignments involve moderately reputed company to reputed company issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Senior Provider Contracting reputed company communicates contract terms, payment structures, and reimbursement rates to providers. Provides a comprehensive hospital network to consumers in the behavioral health reputed company and executes on reputed company's consumer-reputed company business reputed company. The Senior Provider Contracting reputed company will negotiate with a reputed company of provider constituencies and reputed company continual re-prioritization of corporate and consumer needs. Analyzes financial reputed company of reputed company and terms. Maintains reputed company and documentation reputed company a tracking reputed company. May assist with identifying and reputed company providers based on network composition and needs. Exercises considerable reputed company in determining objectives and approaches to assignments. In this role you will:
Negotiate hospital and ancillary reputed company at market competitive pricing
Initiate and maintain productive long-term relationships with key hospital and group reputed company administrators and members
Communicate proactively with other departments in order to ensure effective and efficient business results
Handle services, reputed company of care, and pricing on the behavioral health network reputed company
Subject matter expert on the assigned region/behavioral health network
Manage large accounts and/or provider relations
Be comfortable with C-suite interactions, both internally and externally
Use your skills to reputed company an reputed company
Required Qualifications
3-4 years of reputed company network management experience including hospital contracting and network administration in a reputed company company or reputed company reputed company
reputed company behavioral health contracting experience, to include contract negotiation
reputed company provider relations experience
reputed company in negotiating managed care reputed company with large physician reputed company, ancillary providers, and hospital systems
Proficiency in analyzing, understanding, and communicating the financial reputed company of contract terms, payment structures, and reimbursement rates to providers
Role Desirables
Bachelor's Degree
Experience with ACO/Risk Contracting
Experience with Value Based Contracting
Additional Information
This role is "remote/work reputed company" and can be based reputed company in the reputed company, however, preference will be given to candidates that are located in the Eastern or Central Time Zone.
Work reputed company Guidance
To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following reputed company:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL reputed company is suggested
Satellite, cellular and microwave reputed company can be used only if approved by leadership
Associates who live and work from Home in the reputed company, Illinois, Montana, or South reputed company will be provided a bi-weekly payment for their internet expense.
reputed company will reputed company Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information
Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay reputed company
The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc.
$78,400 - $107,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
reputed company of Benefits
reputed company. and its affiliated subsidiaries (reputed company, “reputed company”) offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, volunteer time off, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 06-12-2026
reputed company
About reputed company: reputed company. (NYSE: HUM) is a leading U.S. reputed company company. Through our reputed company insurance services and our reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life reputed company with Medicare and reputed company, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com.
Equal Opportunity Employer
It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on reputed company job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment.
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