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Contract Manager I
Phoenix , AZ 85002
Posted 3 months ago
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Network Contract Managers drive all aspects of provider network management for an assigned geographic area, typically comprised of various states. The contract manager serves as the face of CareCentrix to our providers. Managers negotiate contracts (rates & terms), drive in-network utilization by ensuring adequate provider depth (coverage area) and breadth (line of business), and ensure high levels of provider satisfaction by treating CareCentrix network providers as a client.
- Initiates, develops and manages provider contracts and senior-level provider relationships. Understands and knowledgeable of the contract templates, and applicable regulations surrounding network administration and claims payments.
Understand and knowledgeable of individual provider contracts Monitors and documents contract compliance via metrics to to ensure delivery of agreed upon terms by the provider to CareCentrix Monitors, identifies, escalates, and takes action on identified deficiencies in contract performance and takes action to correct any gaps / deficiencies in quality or financial performance. Leverages market and service expertise to inform strategic initiatives, new product launches and provider-based partnerships.
- Bachelor's Degree
- 2+ years of experience or 4+ years of direct healthcare experience in provider contract or relationship management required. Must be highly proficient in Microsoft Office. Requires rigorous critical thinking and independent judgment
CareCentrix maintains a drug-free workplace in accordance with Florida's Drug Free Workplace Law.