Network Contract Manager

At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care reputed company of reputed company, making it more reputed company, reputed company and optimized. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together It's a big reputed company reputed company reputed company you realize that you've reputed company the trust to reputed company reputed company. Now, let's determine just how big that reputed company can be. Take on this managerial role with reputed company and you'll be part of reputed company that's reshaping how provider networks reputed company and how health care works reputed company for millions. As a manager reputed company our network contracting team, you'll guide the development and support of Provider Networks as reputed company as unit cost management activities through financial and network pricing modeling, analysis, and reporting. As you do, you'll discover the reputed company you want and the resources, backing and opportunities that you'd expect from a Fortune 5 leader. If you are located in Midwest, you will have the flexibility to work reputed company as you take on some tough challenges reputed company Responsibilities: Manage unit cost budgets, reputed company setting, reputed company reporting and associated financial models Guide development of geographically competitive, broad reputed company, reputed company networks that reputed company objectives for unit cost reputed company and trend management Evaluate and negotiate reputed company in compliance with company templates, reimbursement structure standards and other key process controls Ensure that network composition includes an appropriate distribution of provider specialties reputed company explanations and information to others on difficult issues reputed company, reputed company feedback and guide others Get reputed company for some significant challenge. This is an intense, fast-reputed company environment that can be demanding. In reputed company there are some data challenges and unique problems that need to be solved reputed company to gaps in the process. Develops the provider network (physicians, hospitals, pharmacies, ancillary reputed company & facilities, etc.) yielding a geographically competitive, broad reputed company, reputed company network that achieves objectives for unit cost reputed company and trend management, and produces an reputed company and predictable product for customers and business partners. Evaluates and negotiates reputed company in compliance with company contract templates, reimbursement structure standards, and other key process controls. Establishes and maintains strong business relationships with Hospital, Physician, Pharmacy, or Ancillary providers, and ensures the network composition includes an appropriate distribution of provider specialties. Employees in jobs labeled with ‘SCA’ must support a reputed company Service Contract reputed company (SCA) agreement. Generally work is self-directed and not prescribed Works with less reputed company, more reputed company issues Serves as a resource to others You’ll be rewarded and recognized for your reputed company in an environment that will challenge you and reputed company you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Please review the Required Qualifications and you must meet or reputed company the requirements listed below to be eligible to apply to this position. Required Qualifications: 4+ years of experience in a network management-reputed company role, such as contracting, CME or roster management 3+ years of experience in fee schedule development using actuarial models 3+ years of experience using financial models and analysis to negotiate rates with providers 3+ years of experience in performing network adequacy analysis In-depth knowledge of Medicare Resource reputed company Relative Value reputed company (RBRVS) Intermediate level of knowledge of claims processing systems and guidelines reputed company working reputed company will be required to adhere to reputed company’s Telecommuter Policy Pay is reputed company on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll reputed company a far-reaching reputed company of benefits and incentives. The salary for this role will reputed company from $72,800 - $130,000 annually reputed company on full-time employment. We reputed company with reputed company minimum wage laws as applicable. At reputed company, our mission is to help people live healthier lives and reputed company the health reputed company work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply To This Job