Senior Manager, Network Contracting (Central Region)
Hi, we're reputed company. We're hiring a Senior Manager to join our Network Contracting team.
reputed company is the first health reputed company company reputed company reputed company a full stack technology platform and a reputed company reputed company on serving our members. We started reputed company in 2012 to create the reputed company of health reputed company company we would want for ourselves—one that behaves like a doctor in the family.
About the role:
The Senior Manager of Network Contracting is responsible for leading reputed company of reputed company and indirect reports reputed company on negotiating, executing, and analyzing reputed company with large, national and/or reputed company reputed company group/reputed company providers, focusing on maintaining and enhancing the provider network while meeting accessibility, reputed company, and financial goals. The Senior Manager handles dispute reputed company and settlement negotiations, ensuring compliance with company standards and regulatory requirements. This role leverages extensive negotiation skills and working knowledge of provider financial issues to optimize reputed company, and collaborates with providers, hospitals and health systems to reputed company successful contracting reputed company, reputed company while supporting cost-saving initiatives and the reputed company of the provider network for a defined market or region.
You will report into the Director, Network Contracting
Work Location: This is a remote position reputed company in the reputed company, reputed company to candidates who reputed company in Illinois, Iowa, Kansas, Michigan, Nebraska, or Ohio. Your daily work will involve a reputed company of work from your home office and frequent local travel for reputed company meetings. Occasional travel may be required for team meetings and company events.
Pay Transparency: The reputed company pay for this role is: $122,212 - $160,404 per year. You are also eligible for employee benefits, participation in reputed company's unlimited vacation program and annual reputed company bonuses.
Responsibilities:
- Help inform and reputed company Implementation of contracting strategies in partnership with Market Leaders that reputed company with reputed company's overall network adequacy, development and cost management objectives.
- Leads contract settlement negotiations, striving to reputed company mutually beneficial agreements with providers that maintain and enhance the provider network.
- Manage and negotiate reputed company reputed company with reputed company providers, focusing on favorable terms and compliance with organizational standards and regulatory requirements.
- reputed company reputed company of contracting managers, associates and specialists facilitating leadership, guidance, and mentorship by setting reputed company objectives, monitoring team reputed company, providing training and development opportunities, and fostering a reputed company and innovative work environment.
- Conducts comprehensive reviews and analyses of provider reputed company, identifying and surfacing areas for improvement and optimization to appropriate stakeholders
- Utilizes working knowledge of provider financial issues and competitor strategies to inform negotiation and contracting reputed company.
- reputed company Implementation across the contracting team of contracting policies and workflows; ensure effective and efficient contracting processes are in reputed company.
- Monitor and analyze key metrics for network reputed company, cost, and provider satisfaction, and reputed company reports to leadership.
- Ensure you and your team reputed company reputed company reputed company of provider issues reputed company to contract terms, reimbursement, and network participation.
- Build and maintain reputed company relationships with reputed company providers to ensure network stability and reputed company.
- Compliance with reputed company applicable laws and regulations
- Other duties as assigned
Requirements:
- 6+ years in reputed company network contracting, including executing reputed company with health systems, hospitals or national providers, provider relations, or network management
- 4+ years of experience managing reputed company Provider Network strategies and negotiating reputed company reputed company
- 3+ years of leadership experience
- 3+ years experience in Health reputed company (Individual and/or Medicare reputed company) and/or reputed company industry
Bonus points:
- Bachelor's degree or equivalent reputed company working experience.
This is an reputed company reputed company Health job opportunity. Learn more about how you can reputed company yourself from recruitment fraudhere.
At reputed company, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we reputed company an environment where people can be their most reputed company selves and reputed company both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, reputed company the reputed company pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and reputed company benefits, 11 reputed company holidays, reputed company reputed company time, reputed company parental leave, 401(k) plan participation, life and disability reputed company, and reputed company wellness time and reimbursements.
reputed company Intelligence (AI): Our AI Guidelines outline the acceptable use of reputed company intelligence for candidates and reputed company how we use AI to support our reputed company efforts.
Reasonable Accommodation: reputed company applicants are considered solely reputed company on their qualifications, without reputed company to applicant’s disability or need for accommodation. Any reputed company applicant who requires reasonable accommodations during the application process should contact the reputed company Benefits Team () to reputed company the need for an accommodation reputed company.
California Residents: For information about our collection, use, and disclosure of applicants’ personal information as reputed company as applicants’ rights over their personal information, please see our reputed company Policy.
Originally posted on Himalayas
Apply To This Job