Support PDF,DOC,DOCX,TXT,XLS,WPD,HTM,HTML fils up to 5MB
Years of Experience
Date Last Verified
Provider Network Management Director The candidate serves in a leadership capacity, leading associate resources, special projects/initiatives, or network planning. Serves as a subject matter expert for local contracting efforts or in highly specialized components of the contracting process and serves as subject matter expert for that area for a business unit. Typically serves as lead contractor for large scale, multi-faceted negotiations. Serves as business unit representative on enterprise initiatives around network management and leads projects with significant impact. May assist management in network development planning. May provide work direction and establish priorities for field staff and may be involved in associate development and mentoring. Works with the most complex providers such as institutional providers, large medical groups and ancillary providers, and providers in areas with significant competition. Contracts involve non-standard arrangements that require a high level of negotiation skills. Fee schedules are typically customized. Works independently and requires high level of judgment and discretion. May work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management. May collaborate with sales team in making presentations to employer groups. Serves as a communication link between professional providers and the company. Conducts the most complex negotiations. Prepares financial projections and conducts analysis.
Qualification and Experience
The candidate must have BA/BS degree with 8-10 years experience in contracting, provider relations, provider servicing; experience must include prior contracting experience; or any combination of education and experience, which would provide an equivalent background. Should preferably have JD degree from an accredited law school.
Company infoHiring Coordinator