Provider Contracts Manager-Healthcare

Location: Renton, WA
Date Posted: 04-07-2018
Job description
 The ideal candidate has career experience and a skill set that will support and enable a strong understanding of provider network contracting strategy related to development and maintenance of market competitive provider agreements. Manage the provider contracting process from service delivery planning through implementation, including ongoing monitoring and evaluation. Act as lead negotiator for the Provider Relations/Delivery System team and write contract documents.
 
  • Acts as lead negotiator (e.g. proposal development & execution) for the Provider Relations/ Delivery System team in negotiations with community providers (e.g. hospitals, multi-specialty groups, large for-profit vendor organizations, skilled nursing facilities, etc.).
  • Authors the contract document and ensures the complete & appropriate implementation of contractual arrangements, in accordance with payment policy and business & system requirements.
  • Identifies, recommends and facilitates timely resolution of provider training & enhancement strategies to achieve maximum value from contracted relationships. Facilitates problem resolution strategies involving a variety of departments including Legal, Claims, Membership Patient Financial Services, Delivery System, Provider Services, etc.
  • Reviews and approves all contracted provider network information prior to publication/ marketing.
 
 
Minimum Education Requirements
 
Bachelors Degree 
 
Preferred Education
 
Masters Degree Health, Business or Public Administration or Public Health.
 
Knowledge/Skills-Minimum Knowledge/Skills Requirements
 
Advanced working knowledge of various reimbursement methodologies, including quality improvement and risk arrangement. Strong analytical skills related to medical expenses and utilization.
Demonstrated ability to effectively work independently and as part of a team as needed, with a variety of internal and external personnel at various levels of responsibility. Strong verbal and written communication and customer service skills. Strong project management, leadership, facilitation and interpersonal skills.
 
 Requirements
 
4 years Health care experience with at least 1 year healthcare/medical/insurance contract negotiations experience.
 
Preferred Experience
 
7 years Additional health care and an additional 4 years of contract negotiation experience and delivery system operations experience.
Very competitive salary and benefits!
Great company to work for!
Full relocation package is available!
Don't miss out! Apply now and we'll be in touch immediately with more specific details, salary information and to answer any questions!!

This position does NOT provide sponsorship so please do NOT apply if you require sponsorship.  Thank You

KP Recruiting Group 
"Bringing Talent to the Marketplace"

KP Recruiting Group is a well established and very respected recruiting firm.  We have built a strong reputation as a premier resource for providing highly qualified candidates for our clients.  We are very experienced in many industries and have a wide range of clients.  We will serve as your advocate during your career search!  Let us do the work for you!  There is never a fee for our services!



 
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