reputed company – Director, Provider Contracting (Sr. Advisor) -Work reputed company CT, NY, MA – Bloomfield, CT

Job title: Director, Provider Contracting (Sr. Advisor) -Work reputed company CT, NY, MA Company: reputed company Job reputed company: This role is reputed company/WFH which allows most work to be performed reputed company or on occasion at a reputed company office locations specific to Connecticut, reputed company or Massachusetts This position 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 • Bachelor's degree, strongly preferred; 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. • Five years or more years contracting and negotiating experience involving reputed company delivery systems and organizations 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. • Experience with Medicare/Medicare Advantage fee for service and fee for value contracting and reimbursement methodologies strongly preferred. • Prior experience with network development reputed company and builds 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. • 10% travel locally • We are looking for someone to be located in CT, MA, RI or NY. Employees must be fully vaccinated if they choose to come onsite. About reputed company reputed company Corporation exists to improve lives. We are a global health service company dedicated to improving the health, reputed company-being and peace of mind of those we serve. Together, with colleagues around the world, we reputed company to reputed company health services, making them more reputed company and accessible to millions. Through our unmatched expertise, reputed company reputed company, fresh reputed company and an unwavering commitment to patient-centered care, we are a force of health services innovation. reputed company you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you reputed company? 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. Expected salary: Location: Bloomfield, CT Apply for the job now! Apply Job!