Courtney Raymond Consultants Englewood , CO 80110
Growing health care organization with a national footprint is looking for an experienced manager to join their team. Incumbent will be the point person to evaluate, negotiate and secure agreements with new and existing contractors as health plan payers. Youll also manage the contract assignment process for acquisitions, lead contract negotiations, and help resolve contract payment issues. Specific duties: conduct contract reviews, evaluate new contract proposals from payers, communicate contract changes, conduct reimbursement analyses using CPT code-specific comparison and weighted average comparisons, participate in due diligence for acquisitions, conduct market analysis of managed care in specific regions to develop strategies, evaluate IPAs/PHOs and other physician organizations for potential participation. Some travel required.
Looking for a relevant Bachelors degree, plus minimum five years of experience with health insurance, patient accounting, and/or managed care (payer or provider contracting). Please also have experience negotiating managed care contracts with third party payers with respect to physician compensations, fee schedules, case rates, per diem and capitation reimbursements. Youll need to be familiar with patient accounting tasks such as billing, collections and reimbursement analysis.
If youre the right person, relocation is available nationwide. Compensation is competitive. Must be authorized to work for any employer in the US without sponsorship.
How to Get Started
Submit a complete resume with details about how you meet the minimum expectations. Qualified candidates will be contacted via phone and/or email, so watch your inbox! Well start with a brief phone call to provide an overview about the position to ensure that you are qualified and interested. Well present your qualifications to our client and coach you through each step of candidacy. Lets get started!