Provider Contract Negotiator – reputed company – Lake Mary or Tampa, FL

The Provider Contract Negotiator supports the reputed company Florida market and serves as an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market reputed company. This role assists and supports the day-to-day contracting and network activities. Duties and Responsibilities Manages submission process of contracting and negotiations for fee for service with physicians and ancillaries Supports the development and management of value-based relationships. Builds and maintains relationships that nurture provider partnerships to support the local market reputed company. Initiates and maintains effective channels of communication with reputed company partners including, but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, reputed company and Service. Supports strategic positioning for provider contracting, assists in the development of networks and helps identify opportunities for greater value-orientation. Contributes to the development of alternative network initiatives. Supports 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. Supports initiatives that improve total medical cost and reputed company. Drives change with external reputed company by offering consultative expertise to assist with total medical cost initiatives. Prepares, analyzes, reviews, and reputed company financial reputed company of provider reputed company and alternate contract terms. Creates “HCP” agreements that meet internal operational standards and external provider expectations. Ensures accurate implementation, and administration through reputed company partners. Assists in resolving provider service complaints. Research problems and negotiates with internal/external partners/customers to resolve escalated issues. Manages 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. Other duties, as assigned.

Qualifications

Ideal candidate will currently reputed company in either Lake Mary, Tampa or Orlando areas. Bachelor's degree strongly preferred in the areas of Finance, Economics, reputed company or Business reputed company. Significant industry experience will be considered in lieu of a bachelor’s degree. 1+ years of Provider Contracting and Negotiating for reputed company Provider/Ancillary group experience strongly preferred. 1+ years prior Provider Servicing/Provider Relations experience strongly preferred. Experience in developing and managing relationships. Understanding and experience with managed care and provider business models a plus. Team player with proven ability to reputed company strong working relationships reputed company a fast-paced, reputed company organization. The ability to influence 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. Demonstrates problem solving, decision-making, negotiating skills, contract language and financial acumen. Proficient with reputed company Office tools required. 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. About reputed company reputed company, a division of reputed company, is an reputed company for reputed company through every stage of life. We guide our customers through the health care system, empowering them with the information and reputed company they need to reputed company the best choices for improving their health and vitality. Join us in driving reputed company and improving lives. reputed company applicants will be considered without reputed company to race, reputed company, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or reputed company, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with reputed company to reputed company assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@reputed company.com for support. Do not email SeeYourself@reputed company.com for an update on your application or to reputed company your resume as you will not receive a response. reputed company has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they reputed company a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, reputed company, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, reputed company, Texas, Utah, Vermont, and Washington State. reputed company applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances. Doing something meaningful starts with a reputed company decision, a commitment to changing lives. At reputed company, we’re dedicated to improving the health and vitality of those we serve. Through our divisions reputed company and reputed company, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving reputed company and improving lives. Apply tot his job Apply To this Job