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Network Contracting Director

2 months ago

Henderson, Nevada, United States P3 Health Partners Full time
About P3 Health Partners

P3 Health Partners is a physician-led organization dedicated to guiding our communities to better health, unburdening clinicians, aligning incentives, and engaging patients.

Job Summary

We are seeking a highly skilled Network Contracting Manager to join our team. The successful candidate will be responsible for developing, negotiating, and managing contractual, legal, and financial arrangements with providers to ensure our patients have superior access to high-quality, cost-effective healthcare services.

Key Responsibilities
  • Assist with all network contracting activities, including physician, ancillary, and hospital contracting.
  • Support Network Development & Contracting with payer negotiations and implementations.
  • Participate in all new network expansions and future organizational opportunities.
  • Act as a liaison for various contracting and operational projects for hospitals, ancillary providers, and physicians.
  • Coordinate managed care contracting for acquisitions and networks.
  • Coordinate and produce monthly network contracting reports.
  • Oversee various network contracting processes.
  • Apply approaches and methodologies to accomplish project deliverables, such as analysis, documentation, and training.
  • Handle confidential and non-routine information.
  • Deliver assigned projects on time and compliant with applicable state and federal regulations.
Requirements
  • Bachelor's Degree preferred or in process of completion or equivalent experience.
  • Minimum of five years of specific work experience in managed care contracting, including network expansion projects, hospital contracting, primary and specialty physician contracting, and ancillary contracting.
  • Well-versed in CMS reimbursement methodologies, including capitation, per visit, per diem, DRG, APC, and value-based incentives.
  • National contracting negotiation experience preferred.
  • Network operations experience preferred.
Preferred Qualifications
  • High level of interpersonal skills to handle sensitive and confidential situations.
  • Excellent verbal and written skills.
  • Ability to interact and communicate with individuals at all levels of the organization and external parties.
  • Demonstrated knowledge of various computer software applications in word processing, spreadsheets, database, and presentation software.
  • Ability to work in a fast-paced environment with demonstrated ability to juggle multiple competing tasks and demands.
  • Excellent planning and coordinating skills.
  • Ability to travel.