Provider Network Contract Manager

3 weeks ago

Minneapolis MN, United States codeforce360 Full time

Required SkillsPrevious managed care plan contracting experience Ability to follow directions and work independent with focus on contracting numbers and deadlines.Be detailed oriented and track work on spread sheet (Excel)Ability to work in a fast-paced, production environment with accuracy- micro-managed project with attention to meeting numbers set by client and within timeframes Ability to be self-motivated Experience contracting with Managed Care; providers and agencies Familiarity with Medicare contracting, contracts and reimbursement methodologies Solid verbal and written communication skills---be professional and polite while being firm with providers to obtain new contracts back in short turnaround time without language changes and renegotiating rates Associate degree or Bachelor’s  degree in health care administration, business administration, or related field a plus Shift Start/End Time: 8 am to 5 pm based on central/ EST time zone. Telecommuter position - business casual when video conference calls are needed Proficient with Microsoft product and able to learn computer systems quicklyJob Description:The Network Contractor develops the provider network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.) yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and produces an affordable and predictable product for customers and business partners.Specific Duties:Assemble provider/agency contract packetsTelephone and email provider/agency representatives to explain purpose and reason for health plan sending new contract packet for execution.Ability to be professional but firm with providers, agencies and facilities that we are not going to negotiate contract language changes or reimbursement changes when repapering with an organization.Ability to obtain fully executed provider/agency agreements with a short-turnaround time by being organized, persistent, and track daily activities within a spread sheet for accurate monitoring (Excel and or Teams spread sheet experience).Use electronic contracting software, such as DocuSign or AdobeSign to send providers contract documents for review and signatureMust have qualifications/experience:Previous managed care plan contracting experience.Ability to follow directions and work independent with focus on contracting numbers and deadlines.Be detailed oriented and track work on spread sheet (Excel).Ability to work in a fast-paced, production environment with accuracy- micro-managed project with attention to meeting numbers set by client and within timeframes.Ability to be self-motivated.Experience contracting with  Managed Care; providers and agencies.Familiarity with Medicare contracting, contracts and reimbursement methodologies.Solid verbal and written communication skills---be professional and polite while being firm with providers to obtain new contracts back in short turnaround time without language changes and renegotiating ratesAssociate degree or Bachelor’s degree in health care administration, business administration, or related field a plusShift Start/End Time: 8 am to 5 pm based on central/ EST time zone.Telecommuter position - business casual when video conference calls are neededProficient with Microsoft product and able to learn computer systems quicklyExperience:4+ yearsSkills:AdobeSign

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