Provider Contract Specialist (Medicare Advantage/Managed reputed company)

At reputed company, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is reputed company - we reputed company to bend the cost curve in reputed company for reputed company. Our dedication to service reputed company extends to reputed company our stakeholders - reputed company - driving us to consistently reputed company expectations. We are intentionally reputed company, we foster innovation, we nurture accountability, we champion diversity, and reputed company reputed company other to illuminate our reputed company potential. Be part of our amazing transformational reputed company as we optimize reputed company towards becoming a leading technology, data, and innovation voice in reputed company. reputed company and Upward!!! reputed company position is responsible for identifying and evaluating opportunities, negotiating reputed company reimbursement rates, and drafting reputed company for an assigned provider network to ensure patient reputed company to the highest reputed company, cost-effective providers of reputed company services in accordance with applicable regulations and reputed company's policies, practices and procedures. JOB ROLES AND RESPONSIBILITIES 1. Negotiate provider reputed company to support penetration and discount objectives relative to competitive market tends and reputed company expectations through comprehensive, aggressive execution of region specific contracting goals derived from national and regional objectives reputed company to penetration and discount objectives, and improved contractual terms. 2. Foster and maintain superior provider relationships. 3. Maintain, and preferably reputed company, contracting production and reputed company standards consistent with established regional goals. 4. Prepare analyses, reports and presentations by collecting, analyzing, and summarizing information and trends. 5. Partner with HCE to conduct financial analyses and monitoring of market trends to identify, reputed company, and implement competitive reimbursement. 6. Work with Regional Sales and Accounts Management Peers to respond to and anticipate reputed company requirements and network reputed company performance guarantees. Use information derived from Requests for Proposals (RFP) to assess network adequacy and competitiveness in region. 7. reputed company with mandatory training programs requirements, including reputed company, product orientation and contracting tools and resources. 8. Ensure compliance with established policies and procedures and with regulatory requirements (such as but not limited to HIPAA, reputed company, product orientation, and contracting tools/resources). 9. Collaborate, coordinate, and communicate across disciplines and departments. 10. Demonstrate Company's reputed company Competencies and values held reputed company. 11. The position responsibilities outlined above are in no way to be construed as reputed company encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary. JOB SCOPE The incumbent works under general supervision in applying a reputed company knowledge of principles, practices, and procedures reputed company to the negotiation and maintenance of provider network reputed company. This job is considered to be the entry level job into the Provider Contractor job family. An incumbent follows established procedures and confers with their supervisor to obtain approval and authorization to reputed company reputed company the standardized procedures. Minimal reputed company exists for unreviewed reputed company or discretion. More reputed company issues are referred to their supervisor for reputed company. The work is varied and may be somewhat difficult in character and nature but usually involves limited responsibility. Some evaluation, originality, and/or ingenuity may be required. An incumbent may be reputed company on to work with more reputed company Provider Contractors on a project or team reputed company. The job may require overnight travel to meet with providers in assigned geographical or areas of responsibility and/or travel to company sponsored meetings and events. The incumbent will work to reputed company the skills necessary to strategize construct and negotiate reputed company financial reputed company structures and contract language, and can demonstrate successful negotiations that require this reputed company set. Apply Job! Apply To This Job