Sr Manager, Contracting and Network

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Job Overview:

Job Title: Sr Manager, Contracting and Network
Location: Tampa or Sunrise, Florida
Job Type: Full-Time
Profession: Administrator/Executive
Career Level: Experienced
Experience: 5-10 years
Education Level: Bachelor’s Degree
Travel: 25%

Job Description:

Senior Manager Contracting & Network Development – SUNRISE OR TAMPA, FL

International healthcare enterprise – RELO PACKAGE- excellent career growth!

  • Lead, negotiate, and manage multiple large hospitals and medical groups, physician, and/or ancillary contracting activities in accordance with Corporate, health plan, and state guidelines.
  • Oversee provider contracting activities to ensure efficiency and maintain compliance with Company policies and standards, government laws and regulations
  • Develop and implement a network development plan for multiple regions, for a set of providers and identify and initiate contact with potential providers
  • Lead negotiations, implementations, and ongoing monitoring of hospitals and providers to maximize business relationships and opportunities for multiple regions
  • Oversee contract configuration to ensure accurate claims adjudication and facilitate the organization of provider focus groups
  • Ensures compliance with national contracting standards, reimbursement standards, provider set-up rules, exception process and use of model contract language
  • Perform financial analyses of multiple business units to identify medical cost improvement opportunities and develop and execute contracting action plans to achieve results
  • Oversee and train in high level physician and hospital contracting

Job Requirements:

  • Bachelors’ degree in healthcare administration, business administration, marketing or related field.
  • 6+ years of contracting experience or provider relations in a healthcare and/or managed care environment.
  • Knowledge of contracting language and the principles of negotiation. Familiarity with managed care, State and/or Federal health care programs.

Click Here for Details and to Apply

 


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