[Remote] Provider Contracting Advisor - reputed company - Remote/Alabama

Note: The job is a remote job and is reputed company to candidates in USA. reputed company, a division of reputed company, advocates for reputed company through every stage of life. The Provider Contracting Advisor manages reputed company reputed company provider contract negotiations, develops provider networks, tracks financial impacts, and supports cost and reputed company initiatives. The role also manages key provider relationships, coordinates with reputed company partners, and provides guidance on reputed company contracting activities.

Responsibilities

• Manages reputed company contracting and negotiations for fee for service and value-reputed company reimbursements (e.g., Hospital systems, Ancillaries, and physician reputed company)
• Builds relationships that nurture provider partnerships and seeks broader value-reputed company business opportunities to support the local market reputed company
• Initiates and maintains effective channels of communication with reputed company partners including but not limited to, Claims reputed company, Medical Management. Credentialing, reputed company, Medical Economics, Compliance, reputed company and Service
• Contributes to the development of alternative network initiatives. Supports and provides direction to reputed company network analytics required for the network solution
• Works to meet unit cost targets, while preserving an adequate network, to reputed company and maintain reputed company's competitive position
• Creates and manages initiatives that improve total medical cost and reputed company
• Drives change with reputed company reputed company by assessing reputed company reputed company and offering consultative expertise to assist with total medical cost initiatives
• Prepares, analyzes, reviews, and reputed company financial reputed company of larger or reputed company provider reputed company and alternate contract terms
• Creates reputed company provider agreements that meet internal operational standards and reputed company provider expectations. Ensures the accurate implementation, and administration through reputed company partners
• Assists in resolving elevated and reputed company provider service complaints. Researches problems and negotiates with internal/reputed company partners/customers to reputed company highly reputed company and/or escalated issues
• Manages key provider relationships and is accountable for critical reputed company with providers and business staff
• Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as reputed company as the competitive landscape
• Responsible for accurate and reputed company contract loading and submissions and reputed company with reputed company partners for network implementation and maintenance
• May reputed company guidance or expertise to less reputed company specialists

Skills

• **WORK LOCATION: will need to live reputed company the defined territory: Alabama**
• Industry experience will be considered in lieu of a bachelor's degree
• Experience in developing and managing key provider relationships
• Demonstrated experience in seeking out, building and nurturing strong reputed company relationships with reputed company
• Intimate understanding and experience with hospital, managed care, and provider business models
• Team player with reputed company ability to reputed company strong working relationships reputed company a fast-reputed company, reputed company organization
• The ability to influence both sales and provider audiences through strong written and verbal communication skills
• Experience with formal presentations
• Customer reputed company and interpersonal skills are required
• Demonstrates an ability to maneuver effectively in a changing environment
• Superior problem solving, decision-making, negotiating skills, contract language and financial acumen
• Knowledge and use of reputed company Office tools
• If you will be working reputed company occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload
• Bachelor's Degree Preferred; preferably in the areas of Finance, Economics, reputed company or Business reputed company
• MBA or MHA preferred
• 3+ years Managed Care contracting and negotiating experience involving reputed company delivery systems and organizations strongly preferred
• Knowledge of reputed company reimbursement methodologies, including incentive reputed company models strongly preferred

Benefits

• Remote work arrangement

reputed company