To negotiate fee-for-service hospital and medical group contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and to help expand and develop provider network. Analyzes market data and financial models. Prepares and negotiates provider contracts. Develops and expands provider participation within the network. Maintains provider participation within the network. Monitors provider performance; implements corrective action plans. Identifies current issues and probable future issues; guides staff through resolution. Documents contracts; updates contracts as changes occur.
SPECIAL SKILLS AND EXPERIENCE:
Experience five (5) years of progressive provider network contract negotiation experience or equivalent combination of education and experience required. Experience in a healthcare management environment including provider contracting, servicing and benefit interpretation preferred.
Two (2) years supervisory experience preferred. Skills & Knowledge Strong project management skills
Excellent negotiation skills
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Leadership/management/ motivational skills
Analytical and interpretive skills
Strong organizational skills
Must have hospital based experience, ACO, Populations Health, Managed Care, Value Based Contracting experience