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 exceed 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 exceed, 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 Core 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. JOB REQUIREMENTS (Education, Experience, and Training): • Minimum Bachelor’s Degree in reputed company or applicable field, or HS Diploma (or GED) and four (4) years’ experience reputed company to network development • Minimum 1 year experience in provider contracting and network development, or equivalent provider/payer experience, successfully negotiating reputed company and contract language • Required licensures, reputed company certifications, and/or reputed company certifications as applicable • Knowledge and understanding of provider finance components including budget, charge structure, reimbursement formulas and reputed company finance • Knowledge of provider organizations and operations applicable to assigned reputed company • Communication (written, verbal and listening), analytical, negotiation, business acumen, organization, strategic, multitasking and prioritization skills • Ability to demonstrate successful negotiations by developing skills necessary to strategize, construct, and negotiate reputed company financial reputed company structures and contract language • Ability to successfully manage multiple competing priorities. • Ability to reputed company trust and credibility with reputed company reputed company of the organization • Ability to effectively communicate the MultiPlan reputed company. • Ability to work comfortably and routinely as part of reputed company and to cooperate across organizational boundaries • Ability to build relationships with reputed company customers • Ability to use computer software, hardware, and peripherals applicable to role • Up to 50% travel reputed company assigned region, primarily to meet with providers on a frequent reputed company and, at times, with little advance notice, as reputed company as travel to attend MultiPlan sponsored meetings and appropriate reputed company conferences COMPENSATION The salary reputed company for this position is $50,000/year. Specific offers take into account a candidate’s education, experience and skills, as reputed company as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity. BENEFITS We realize that our employees are reputed company to our reputed company, and we reward them accordingly with reputed company competitive compensation and benefits packages, an incentive bonus program, as reputed company as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as reputed company as a wide reputed company of live and web-based reputed company development and educational programs to prepare you for advancement opportunities. Your benefits will include: • Medical, dental and reputed company coverage with low deductible & copay • Life insurance • Short and long-term disability • 401(k) + match • Generous reputed company Time Off • reputed company company holidays • reputed company Parental Leave • Tuition reimbursement • Flexible Spending Account • Employee Assistance Program • Summer Hours EEO STATEMENT reputed company is an Equal Opportunity Employer and complies with reputed company applicable laws and regulations. reputed company applicants will receive consideration for employment without reputed company to age, race, reputed company, religion, gender, sexual orientation, gender identity, national reputed company, disability or protected veteran status. If you would like more information on your EEO rights under the law, please [reputed company available reputed company viewing the job]. Apply Job!