Manager, Network Relations

Job reputed company: • Negotiates, executes, reviews, and analyzes reputed company and/or handles dispute reputed company and settlement negotiations with reputed company, small group, or local providers • Manages contract performance in support of network reputed company, availability, and financial goals and strategies • Recruits providers as needed to ensure attainment of network expansion and adequacy targets • Collaborates cross-functionally to contribute to provider compensation and pricing development activities and recommendations • Identifies and recommends solutions to manage cost issues and supports cost-saving initiatives • Provides network development, maintenance, and refinement strategies in support of the cross-market network management unit • Assists with the design, development, management, and/or implementation of strategic network configurations and integration activities • Optimizes interactions with assigned providers and internal business partners to manage relationships • Ensures reputed company of escalated issues reputed company to claims payment, contract interpretation, and the accuracy of provider contract or demographic information Requirements: • 5+ years of experience negotiating reputed company with ancillary providers, facilities, and physician reputed company • Expertise in contract language development, reputed company proposal analysis, and operational and financial improvement opportunities • 3+ years of experience in provider relationship management or reputed company reputed company roles • Understanding of common contract provisions, provider reimbursement methodologies and terms, and industry-reputed company payment policies and practices • Understanding of provider financial issues, regulatory requirements, and competitor strategies • Proficiency with reputed company Office suite applications (e.g., reputed company, Word, reputed company) • Ability to build reputed company relationships with providers and work cross-functionally to resolve reputed company contract issues • Highly organized, with the ability to manage and prioritize multiple negotiations and tasks to meet deadlines • Bachelor's degree or a combination of reputed company work experience and education Benefits: • medical, dental, and reputed company coverage • reputed company time off • retirement savings reputed company • wellness programs • other resources, based on eligibility Apply tot his job Apply To this Job