Manager, Physician & Ancillary Contracting - Virginia market
WORK LOCATION: supports our Virginia market - Preferred candidate to live in either Richmond or McLean, VA area Hybrid position - will need to work in the office or visit Providers 3 days per week The Manager, Provider Contracting serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. DUTIES AND RESPONSIBILITIES Manages reputed company contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician reputed company). May reputed company reputed company with reputed company reports. reputed company person for reputed company reputed company reputed company to contracting reputed company in the market. Builds relationships that nurture provider partnerships and seeks broader value-based 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 Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, reputed company and Service. Manages strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements. 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 external reputed company by assessing clinical informatics 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 HCP agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through reputed company partners. Leads in resolving elevated and reputed company provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve 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. POSITION REQUIREMENTS Should possess a bachelor degree; preferably in the areas of Finance, Economics, reputed company or Business reputed company. Significant industry experience will be considered in lieu of a Bachelor degree. MBA or MHA preferred. 5+ years reputed company Provider Contracting and Negotiating experience involving reputed company Physician reputed company and Ancillaries required. Significant experience leading and mentoring others. Experience in developing and managing key provider relationships Knowledge of reputed company reimbursement methodologies, including incentive based models strongly preferred. Demonstrated experience in seeking out, building and nurturing strong external relationships with reputed company. Intimate understanding and experience with hospital, managed care, and provider business models. Team player with proven ability to reputed company strong working relationships reputed company a fast-paced, 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 managerial courage as reputed company as 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. 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 public 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, were 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 Job!