Related skills
data analytics negotiation contracting provider contracts regulatory compliance๐ Description
- Implement contracting strategies with Network Director/Manager.
- Negotiate provider contracts for favorable terms and compliance.
- Negotiate Single Case Agreements (SCA) and IDR cases.
- Provide SME guidance and foster collaboration and innovation.
- Analyze provider contracts to identify improvement opportunities.
- Use provider financial data and competitive insights to inform negotiations.
๐ฏ Requirements
- 3+ years in healthcare client management, consulting, or provider contracting.
- 2+ years in provider network strategy development and negotiating contracts.
- 1+ year of financial analyses on markets or product lines; cross-functional.
- 1+ year handling large datasets (claims, provider rosters).
๐ Benefits
- Medical, dental, and vision benefits.
- 11 paid holidays and paid sick time.
- Paid parental leave and 401(k) plan.
- Life and disability insurance.
- Unlimited vacation program and annual bonuses.
- Wellness time and reimbursements.
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